MEDICARE: UPTOWN HOME CARE AGENCY,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	:	1306533476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPTOWN HOME CARE AGENCY,LLC

Provider Business Mailing Address
First Line	:	806 POWDERSVILLE RD STE G
Second Line	:
City	:	EASLEY
State	:	SC
Zip	:	29642-1980
Country	:	US
Telephone Number	:	864-386-2677
Fax Number	:

Provider Business Practice Location Address
First Line	:	806 POWDERSVILLE RD STE G
Second Line	:
City	:	EASLEY
State	:	SC
Zip	:	29642-1980
Country	:	US
Telephone Number	:	864-386-2677
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. GEORGE NWANTAMA
Credential	:
Telephone Number	:	864-386-2677

Provider Enumeration Date	:	04/19/2023
Last Update Date	:	04/19/2023

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