Healthcare Provider Details

I. General information

NPI: 1336058882
Provider Name (Legal Business Name): TISHA MARIA FRANCIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WOODRUFF RD STE 133
GREENVILLE SC
29607-5730
US

IV. Provider business mailing address

1200 WOODRUFF RD STE 133
GREENVILLE SC
29607-5730
US

V. Phone/Fax

Practice location:
  • Phone: 864-213-6308
  • Fax:
Mailing address:
  • Phone: 864-213-6308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberIHCP-2931
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: