Healthcare Provider Details

I. General information

NPI: 1700678174
Provider Name (Legal Business Name): HEART AT HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 W EVANS ST STE D100
FLORENCE SC
29501-3376
US

IV. Provider business mailing address

1801 W EVANS ST STE D100
FLORENCE SC
29501-3376
US

V. Phone/Fax

Practice location:
  • Phone: 843-506-6817
  • Fax: 888-781-9149
Mailing address:
  • Phone: 843-271-6070
  • Fax: 888-781-9149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care 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 Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. KIANA CHEVONNE BROWN
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 843-271-6070