MEDICARE: ERICA DENHAM

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	IHCP-2443	SC
2	385H00000X	Respite Care	IHCP-2443	SC
3	253Z00000X	In Home Supportive Care Agency	IHCP-2443	SC

General Provider Information

NPI Number	:	1629900154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA DENHAM

Provider Business Mailing Address
First Line	:	120 WILLOW WINDS DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-4454
Country	:	US
Telephone Number	:	803-638-2504
Fax Number	:

Provider Business Practice Location Address
First Line	:	1417 GREGG ST STE 7
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-3527
Country	:	US
Telephone Number	:	803-218-0400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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