Healthcare Provider Details

I. General information

NPI: 1932832441
Provider Name (Legal Business Name): GENNEA HEALTHCARE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2022
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 SAINT ANDREWS RD STE A2
IRMO SC
29063-2866
US

IV. Provider business mailing address

7801 SAINT ANDREWS RD STE A2
IRMO SC
29063-2866
US

V. Phone/Fax

Practice location:
  • Phone: 803-878-1298
  • Fax:
Mailing address:
  • Phone: 803-391-8225
  • Fax: 803-891-5258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SOQUETTA G DUNLAP
Title or Position: ADMINISTRATOR
Credential:
Phone: 803-391-8225