Healthcare Provider Details

I. General information

NPI: 1346160819
Provider Name (Legal Business Name): PRIESTER NICHOLS HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 WILEY AVE
YORK SC
29745-1849
US

IV. Provider business mailing address

226 WILEY AVE
YORK SC
29745-1849
US

V. Phone/Fax

Practice location:
  • Phone: 803-367-2408
  • Fax: 803-367-2408
Mailing address:
  • Phone: 803-367-2408
  • Fax: 803-367-2408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: RAYNETTE MASHONDA PRIESTER-NICHOLS
Title or Position: CEO/OWNER
Credential: RMA, CPT
Phone: 803-367-2408