MEDICARE: MEDICAL CARE CONSULTING, 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1659768398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL CARE CONSULTING, LLC

Provider Business Mailing Address
First Line	:	2211 LAKE MURRAY BLVD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-0951
Country	:	US
Telephone Number	:	803-429-7220
Fax Number	:

Provider Business Practice Location Address
First Line	:	2211 LAKE MURRAY BLVD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-0951
Country	:	US
Telephone Number	:	803-749-8030
Fax Number	:	866-669-2198

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	THOMAS HORTON
Credential	:
Telephone Number	:	803-429-7220

Provider Enumeration Date	:	04/21/2015
Last Update Date	:	12/21/2021

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