MEDICARE: HAZEL CARES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1023977964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAZEL CARES LLC

Provider Business Mailing Address
First Line	:	2423 HIGHWAY 17 S
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-4343
Country	:	US
Telephone Number	:	917-627-4903
Fax Number	:

Provider Business Practice Location Address
First Line	:	2423 HIGHWAY 17 S
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-4343
Country	:	US
Telephone Number	:	917-627-4903
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	JANICE MARIE JEFFERSON SHEPPARD
Credential	:	RN
Telephone Number	:	843-489-1302

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/17/2026

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