Healthcare Provider Details

I. General information

NPI: 1518837129
Provider Name (Legal Business Name): ABIDING GRACE HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2025
Last Update Date: 11/08/2025
Certification Date: 11/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 HAMBY RD
HONEA PATH SC
29654-8636
US

IV. Provider business mailing address

105 BUMBLE CIR
MAULDIN SC
29662-2597
US

V. Phone/Fax

Practice location:
  • Phone: 864-321-2116
  • Fax:
Mailing address:
  • Phone: 864-321-2116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE REBECCA KIRK
Title or Position: OWNER
Credential:
Phone: 864-321-2116