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General NPI Number Information
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NPI Number | 1609387497
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Entity Type | Organization
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Legal Business Name | CAROLINAS CAREGIVERS ENTERPRISES, LLC
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 454 ANDERSON RD S STE 104
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City | ROCK HILL
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State | SC
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Zip | 29730-3398
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Country | US
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Telephone | 803-329-8333
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Fax | 888-780-7384
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Provider Business Mailing Address
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Address Line | 454 ANDERSON RD S # BTC563
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City | ROCK HILL
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State | SC
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Zip | 29730-3392
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Country | US
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Telephone | 803-329-8333
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Fax | 888-780-7384
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | CHARLENE WITCHER SKELTON
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Credential |
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Telephone | 803-329-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | IHCP-0747
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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