Healthcare Provider Details

I. General information

NPI: 1437450483
Provider Name (Legal Business Name): MAYFLOWERS HEALTH CARE ASSISTANCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2010
Last Update Date: 11/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5410 ISLE CIRCLE
NORTH CHARLESTON SC
29418
US

IV. Provider business mailing address

5410 ISLE CIRCLE
NORTH CHARLESTON SC
29418
US

V. Phone/Fax

Practice location:
  • Phone: 843-609-0667
  • Fax:
Mailing address:
  • Phone: 843-609-0667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number100310E
License Number StateSC
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number100310E
License Number StateSC
# 8
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number100310E
License Number StateSC

VIII. Authorized Official

Name: MISS TANYA BERNICE FLOWERS
Title or Position: MANAGER/CNA OF MHCA
Credential:
Phone: 843-609-0667