MEDICARE: PROVIDERS HOME CARE

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	251B00000X	Case Management Agency
2	251E00000X	Home Health Agency		SC

General Provider Information

NPI Number	:	1649727579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROVIDERS HOME CARE

Provider Business Mailing Address
First Line	:	601 W OAKLAND AVE
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29150-5643
Country	:	US
Telephone Number	:	803-262-0695
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 W LIBERTY ST
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29150-5240
Country	:	US
Telephone Number	:	571-581-9679
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OFFICER
Name	:	RHASAUNA PIERCE
Credential	:
Telephone Number	:	803-262-0695

Provider Enumeration Date	:	09/08/2016
Last Update Date	:	01/26/2026

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Directions to “PROVIDERS HOME CARE ” Practice Location

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