=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609710250
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DUVET HOME CARE SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/15/2026
-----------------------------------------------------
Last Update Date | 04/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 921 BROAD ST STE K
-----------------------------------------------------
City | CAMDEN
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29020-4328
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-572-1565
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2082
-----------------------------------------------------
City | CAMDEN
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29020-8002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-572-1565
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MRS. QUEEN CUSTIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 803-572-1565
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------