MEDICARE: GOOD-NATURED HOMECARE

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	:	1568396927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD-NATURED HOMECARE

Provider Business Mailing Address
First Line	:	6650 RIVERS AVE STE 100
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-4809
Country	:	US
Telephone Number	:	864-887-4391
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 CEDAR LANE RD STE 18
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29617-2347
Country	:	US
Telephone Number	:	864-887-4391
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DIAMOND CANNON
Credential	:
Telephone Number	:	864-887-4391

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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Directions to “GOOD-NATURED HOMECARE ” Practice Location

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