Healthcare Provider Details

I. General information

NPI: 1649941170
Provider Name (Legal Business Name): CFL HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 02/05/2025
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 CIVITAS ST SUITE 206
MOUNT PLEASANT SC
29464
US

IV. Provider business mailing address

159 CIVITAS ST SUITE 206
MOUNT PLEASANT SC
29464
US

V. Phone/Fax

Practice location:
  • Phone: 843-852-9090
  • Fax: 843-852-0500
Mailing address:
  • Phone: 843-852-9090
  • Fax: 843-852-0500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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

VIII. Authorized Official

Name: MRS. MELISSA ANDERSON
Title or Position: VICE PRESIDENT US OPERATIONS
Credential:
Phone: 413-561-5686