Healthcare Provider Details

I. General information

NPI: 1881919504
Provider Name (Legal Business Name): NHC HOMECARE-SOUTH CAROLINA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 11/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1674 CRANIUM DR SUITE 101
ROCK HILL SC
29732-3506
US

IV. Provider business mailing address

1674 CRANIUM DR SUITE 101
ROCK HILL SC
29732-3506
US

V. Phone/Fax

Practice location:
  • Phone: 803-325-1455
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBERT MICHAEL USSERY
Title or Position: SVP
Credential:
Phone: 615-890-2020