Healthcare Provider Details

I. General information

NPI: 1316612179
Provider Name (Legal Business Name): INLETCARE MVDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2021
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5180 HORRY DR UNIT A
MURRELLS INLET SC
29576-5241
US

IV. Provider business mailing address

5180 HORRY DR UNIT A
MURRELLS INLET SC
29576-5241
US

V. Phone/Fax

Practice location:
  • Phone: 843-299-0291
  • Fax: 843-299-0293
Mailing address:
  • Phone: 843-299-0291
  • Fax: 843-299-0293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. YATISH H PATEL
Title or Position: MEMBER
Credential:
Phone: 843-299-0291