MEDICARE: ELIZABETH HUMPHRIES RT

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	2279H0200X	Home Health Registered Respiratory Therapist	5138	SC

General Provider Information

NPI Number	:	1649163221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH HUMPHRIES RT

Provider Business Mailing Address
First Line	:	SC HOUSE CALLS INC.
Second Line	:	111 DOCTORS CIR.
City	:	COLUMBIA
State	:	SC
Zip	:	29203
Country	:	US
Telephone Number	:	800-491-0909
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 WAYSIDE DR
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29170-2960
Country	:	US
Telephone Number	:	803-240-2953
Fax Number	:

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

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	08/18/2025

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