=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922998160
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LARGEN GROUP INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2025
-----------------------------------------------------
Last Update Date | 07/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1317 EBENEZER RD
-----------------------------------------------------
City | ROCK HILL
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29732-2336
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-329-4357
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1317 EBENEZER RD STE 3
-----------------------------------------------------
City | ROCK HILL
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29732-2336
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-329-4357
-----------------------------------------------------
Fax | 888-346-9187
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. JAMES WILSON LARGEN JR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 919-414-4187
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------