MEDICARE: SAINTS HEALTHCARE SERVICES, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1700151834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINTS HEALTHCARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	219 CHERUB CT
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-4075
Country	:	US
Telephone Number	:	864-329-9815
Fax Number	:	864-329-9815

Provider Business Practice Location Address
First Line	:	219 CHERUB CT
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-4075
Country	:	US
Telephone Number	:	864-329-9815
Fax Number	:	864-329-9815

Authorized Official
Title or Position	:	OWNER
Name	:	LINDA ROBINSON
Credential	:
Telephone Number	:	864-329-9815

Provider Enumeration Date	:	03/22/2012
Last Update Date	:	03/22/2012

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