Healthcare Provider Details

I. General information

NPI: 1932424439
Provider Name (Legal Business Name): CARESC HME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2010
Last Update Date: 06/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 N FRASER ST
GEORGETOWN SC
29440-3353
US

IV. Provider business mailing address

718 N FRASER ST
GEORGETOWN SC
29440-3353
US

V. Phone/Fax

Practice location:
  • Phone: 843-545-9292
  • Fax: 843-520-4345
Mailing address:
  • Phone: 843-545-9292
  • Fax: 843-520-4345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number10856
License Number StateSC

VIII. Authorized Official

Name: MR. RAYMOND CURTIS PASCHAL
Title or Position: MEMBER LLC
Credential: R.PH.
Phone: 843-240-2345