Healthcare Provider Details

I. General information

NPI: 1356691620
Provider Name (Legal Business Name): WE CARE IN HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 09/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHICK SPRINGS ROAD SUITE 304A
GREENVILLE SC
29609-4972
US

IV. Provider business mailing address

1 CHICK SPRINGS ROAD SUITE 304A
GREENVILLE SC
29609-4972
US

V. Phone/Fax

Practice location:
  • Phone: 864-552-1495
  • Fax: 864-552-1496
Mailing address:
  • Phone: 864-552-1495
  • Fax: 864-552-1496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. RUBY MAE MADDEN
Title or Position: PRESIDENT/ CEO
Credential:
Phone: 864-361-2729