Healthcare Provider Details

I. General information

NPI: 1346408366
Provider Name (Legal Business Name): HOPE AND GRACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 RANDALL ST STE B
GREER SC
29651-3410
US

IV. Provider business mailing address

300 RANDALL ST STE B
GREER SC
29651-3410
US

V. Phone/Fax

Practice location:
  • Phone: 864-848-1729
  • Fax: 864-848-1796
Mailing address:
  • Phone: 864-848-1729
  • Fax: 864-848-1796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. REBECCA JOHNSON PICKETT
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 864-848-1729