Healthcare Provider Details

I. General information

NPI: 1275347205
Provider Name (Legal Business Name): SMB CAPITAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 OLD TROLLEY RD STE D
SUMMERVILLE SC
29485-5673
US

IV. Provider business mailing address

4900 OHEAR AVE STE 100
NORTH CHARLESTON SC
29405-5091
US

V. Phone/Fax

Practice location:
  • Phone: 855-750-0614
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHARON BROWN
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 855-750-0614