Healthcare Provider Details

I. General information

NPI: 1942705645
Provider Name (Legal Business Name): THE WRIGHT HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 04/28/2020
Certification Date: 04/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 E STONE AVE STE 8
GREENVILLE SC
29609
US

IV. Provider business mailing address

217 E STONE AVE STE 8
GREENVILLE SC
29609-5655
US

V. Phone/Fax

Practice location:
  • Phone: 864-534-1804
  • Fax: 864-534-1805
Mailing address:
  • Phone: 864-534-1804
  • Fax: 864-534-1805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. VONDA KAY WILLIAMSON
Title or Position: OWNER
Credential:
Phone: 864-534-1804