MEDICARE: SAFE PATH HOME CARE 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1508708546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE PATH HOME CARE LLC

Provider Business Mailing Address
First Line	:	9550 PRINCE EDWARD CT
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29209-5218
Country	:	US
Telephone Number	:	803-297-1140
Fax Number	:

Provider Business Practice Location Address
First Line	:	9550 PRINCE EDWARD CT
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29209-5218
Country	:	US
Telephone Number	:	803-297-1140
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SABRINA OLUFUNKE ADEYINKA
Credential	:
Telephone Number	:	803-297-1140

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/17/2026

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