Healthcare Provider Details

I. General information

NPI: 1316901317
Provider Name (Legal Business Name): CARING NEIGHBORS HOME HEALTH AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 US HIGHWAY 321 BYP N
WINNSBORO SC
29180-9251
US

IV. Provider business mailing address

102 US HIGHWAY 321 BYP N
WINNSBORO SC
29180-9251
US

V. Phone/Fax

Practice location:
  • Phone: 803-712-0373
  • Fax: 803-635-1760
Mailing address:
  • Phone: 803-712-0373
  • Fax: 803-635-1760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA132
License Number StateSC

VIII. Authorized Official

Name: MR. L J DOZIER
Title or Position: CEO
Credential:
Phone: 803-712-0373