Healthcare Provider Details

I. General information

NPI: 1891614152
Provider Name (Legal Business Name): SCHCONNIE DENNIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 RENAISSANCE CIR STE 2
MAULDIN SC
29662-2459
US

IV. Provider business mailing address

120 RENAISSANCE CIR STE 2
MAULDIN SC
29662-2459
US

V. Phone/Fax

Practice location:
  • Phone: 864-275-1543
  • Fax:
Mailing address:
  • Phone: 864-275-1543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number41-5326198
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: