MEDICARE: SOS HEALTH CARE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235664673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOS HEALTH CARE INC

Provider Business Mailing Address
First Line	:	5276 HIGHWAY 17 BUSINESS
Second Line	:
City	:	MURRELLS INLET
State	:	SC
Zip	:	29576-5214
Country	:	US
Telephone Number	:	843-712-1225
Fax Number	:	843-712-1225

Provider Business Practice Location Address
First Line	:	1508 AZALEA DR
Second Line	:
City	:	SURFSIDE BEACH
State	:	SC
Zip	:	29575-8240
Country	:	US
Telephone Number	:	843-712-1225
Fax Number	:	843-712-1225

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SARAH POPE
Credential	:
Telephone Number	:	843-449-0554

Provider Enumeration Date	:	04/24/2017
Last Update Date	:	02/02/2022

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Directions to “SOS HEALTH CARE INC ” Practice Location

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