Healthcare Provider Details

I. General information

NPI: 1730014309
Provider Name (Legal Business Name): BIGBY HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 CHALET NORTH CT
NORTH AUGUSTA SC
29841-3963
US

IV. Provider business mailing address

114 CHALET NORTH CT
NORTH AUGUSTA SC
29841-3963
US

V. Phone/Fax

Practice location:
  • Phone: 404-376-5103
  • Fax:
Mailing address:
  • Phone: 404-376-5103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA S STONE
Title or Position: CEO
Credential: MSN-RN
Phone: 404-376-5103