Healthcare Provider Details

I. General information

NPI: 1952103343
Provider Name (Legal Business Name): FAITH & GRACE HOME HEALTH AND SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 W EVANS ST
FLORENCE SC
29501-3398
US

IV. Provider business mailing address

1224 W EVANS ST STE A
FLORENCE SC
29501-3398
US

V. Phone/Fax

Practice location:
  • Phone: 843-231-0967
  • Fax: 843-968-1590
Mailing address:
  • Phone: 843-231-0967
  • Fax: 843-968-1590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BRENDESHA SANDERS
Title or Position: OWNER
Credential:
Phone: 843-231-0967