Healthcare Provider Details

I. General information

NPI: 1437554110
Provider Name (Legal Business Name): OPEN HANDS NURSING AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2014
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date: 06/14/2023
Reactivation Date: 07/24/2023

III. Provider practice location address

1951 PISGAH RD
FLORENCE SC
29501-6705
US

IV. Provider business mailing address

1951 PISGAH RD
FLORENCE SC
29501-6705
US

V. Phone/Fax

Practice location:
  • Phone: 843-621-3641
  • Fax: 843-944-0019
Mailing address:
  • Phone: 843-944-0019
  • Fax: 843-944-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberEX0989
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberEX0989
License Number StateSC

VIII. Authorized Official

Name: JAMES HOLMES
Title or Position: OWNER/DIRECTOR
Credential: DO,ETC,PROVIDER
Phone: 843-944-0019