Healthcare Provider Details

I. General information

NPI: 1356398911
Provider Name (Legal Business Name): PERSONAL CARE PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 INVIEW ROAD SUITE 105
WEST COLUMBIA SC
29169
US

IV. Provider business mailing address

108 INVIEW ROAD SUITE 105
WEST COLUMBIA SC
29169
US

V. Phone/Fax

Practice location:
  • Phone: 803-794-4060
  • Fax: 803-794-4077
Mailing address:
  • Phone: 803-794-4060
  • Fax: 803-794-4077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code2278H0200X
TaxonomyHome Health Certified Respiratory Therapist
License Number
License Number StateSC

VIII. Authorized Official

Name: MR. CHARLIE HOWELL III
Title or Position: BUSINESS MANAGER
Credential: MED
Phone: 803-794-4060