Healthcare Provider Details

I. General information

NPI: 1780418095
Provider Name (Legal Business Name): CARE XPERT HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2024
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 E EVANS ST STE D16B
FLORENCE SC
29506-2511
US

IV. Provider business mailing address

2784 LEOLA HILL DR
FLORENCE SC
29506-8553
US

V. Phone/Fax

Practice location:
  • Phone: 843-618-2734
  • Fax:
Mailing address:
  • Phone: 843-618-2734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MISS SHANTELL DENISE MCDOWELL
Title or Position: ADMINISTRATOR
Credential:
Phone: 843-618-2734