Healthcare Provider Details

I. General information

NPI: 1053017582
Provider Name (Legal Business Name): SAVE MY LIFE CR HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 02/06/2023
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 MAIN ST
LORIS SC
29569-3024
US

IV. Provider business mailing address

4160 MAIN ST
LORIS SC
29569-3024
US

V. Phone/Fax

Practice location:
  • Phone: 843-756-1616
  • Fax:
Mailing address:
  • Phone: 843-756-1616
  • Fax:

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: RITA LOWERY
Title or Position: OPERATIONAL MANAGER
Credential:
Phone: 843-877-9074