Healthcare Provider Details

I. General information

NPI: 1275043945
Provider Name (Legal Business Name): LOVIE ALICIA MAYS IN-HOME-CARE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LATONYA ALICIA MCCABE

II. Dates (important events)

Enumeration Date: 10/06/2017
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2685 CELANESE RD STE 127
ROCK HILL SC
29732-2992
US

IV. Provider business mailing address

212 TASMAN DR
MT HOLLY NC
28120-7717
US

V. Phone/Fax

Practice location:
  • Phone: 803-693-6418
  • Fax:
Mailing address:
  • Phone: 757-892-9203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberIHCP-0777
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberIHCP-0777
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: