Healthcare Provider Details

I. General information

NPI: 1740150044
Provider Name (Legal Business Name): ELIZA HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 EDINBURGH CT
GREENVILLE SC
29607-2529
US

IV. Provider business mailing address

121 EDINBURGH CT
GREENVILLE SC
29607-2529
US

V. Phone/Fax

Practice location:
  • Phone: 864-640-5499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SONNI SMITH
Title or Position: MEMBER
Credential: NURSE PRACTITIONER
Phone: 864-640-5499