Healthcare Provider Details

I. General information

NPI: 1588583900
Provider Name (Legal Business Name): KIMBELL HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E LIBERTY ST STE C
SUMTER SC
29150-5057
US

IV. Provider business mailing address

105 GULF ST
SUMTER SC
29150-7503
US

V. Phone/Fax

Practice location:
  • Phone: 803-210-1239
  • Fax:
Mailing address:
  • Phone: 803-210-1239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY BOYD
Title or Position: OWNER
Credential:
Phone: 803-210-1239