Healthcare Provider Details

I. General information

NPI: 1255842621
Provider Name (Legal Business Name): A REMEDY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2017
Last Update Date: 11/23/2022
Certification Date: 11/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 PARTNERS LN
ROEBUCK SC
29376-2767
US

IV. Provider business mailing address

7281 NEW CUT RD
INMAN SC
29349-7157
US

V. Phone/Fax

Practice location:
  • Phone: 864-804-3002
  • Fax: 864-529-9743
Mailing address:
  • Phone: 864-804-3002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberIHCP-0717
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberIHCP-0717
License Number StateSC

VIII. Authorized Official

Name: MIRANDA DANIELLE CHALK
Title or Position: OWNER
Credential: RN
Phone: 864-804-3002