Healthcare Provider Details

I. General information

NPI: 1295285153
Provider Name (Legal Business Name): A&T CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2016
Last Update Date: 12/13/2022
Certification Date: 12/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W SUMTER ST
KERSHAW SC
29067-1422
US

IV. Provider business mailing address

207 W SUMTER ST
KERSHAW SC
29067-1422
US

V. Phone/Fax

Practice location:
  • Phone: 803-287-6801
  • Fax: 803-475-9868
Mailing address:
  • Phone: 803-287-6801
  • Fax: 803-475-9868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License NumberIHCP-0583
License Number StateSC

VIII. Authorized Official

Name: MRS. AMELIA ANN BARBER
Title or Position: ADMINISTRATIOR
Credential:
Phone: 803-287-6801