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NPI Code Detail

MEDICARE: MORNING STAR HOME HEALTH LLC

MEDICARE: MORNING STAR HOME HEALTH 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
1163WH0200XHome Health Registered Nurse

General Provider Information

NPI Number : 1164365110
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORNING STAR HOME HEALTH LLC
Provider Business Mailing Address
First Line : 134 OLD BRIDGE LN
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29485-8494
Country : US
Telephone Number : 843-647-1220
Fax Number :
Provider Business Practice Location Address
First Line : 700 NEXTON SQUARE DR
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29486-7915
Country : US
Telephone Number : 843-647-1220
Fax Number : 843-647-1220
Authorized Official
Title or Position : DIRECTOR
Name : CLAUTHIA PRAYLOW
Credential : RN
Telephone Number : 843-647-1220
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “MORNING STAR HOME HEALTH LLC ” Practice Location

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