MEDICARE: EXTENDED FAMILY HOME CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	385H00000X	Respite Care
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1760023501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXTENDED FAMILY HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	301 N GUM ST
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29483-6861
Country	:	US
Telephone Number	:	843-608-9048
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 RIVERS AVE STE A
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-7067
Country	:	US
Telephone Number	:	843-608-9048
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. KAI-RENAY SCOTT
Credential	:
Telephone Number	:	843-608-9048

Provider Enumeration Date	:	10/02/2019
Last Update Date	:	10/02/2019

Similar Medicare Providers

1306808357 — JEFFREY COX MD
Practice Location Address:

38986 14TH AVE
NORTH BRANCH, MN
55056-7067

Practice Phone: 651-674-0055
Practice Fax:

1255530143 — LAWRENCE C. AULT,III, M.D. PA
Practice Location Address:

2400 CRESTWOOD RD , SUITE 101
NORTH LITTLE ROCK, AR
72116-7067

Practice Phone: 501-791-3450
Practice Fax: 501-791-6855

1487067849 — NEUROLOGY OF ARKANSAS PA
Practice Location Address:

2400 CRESTWOOD RD , SUITE 101
NORTH LITTLE ROCK, AR
72116-7067

Practice Phone: 501-945-4710
Practice Fax:

1902752363 — SHEILA NELSON
Practice Location Address:

2240 DOVER ST
NORTH CHARLESTON, SC
29405-7939

Practice Phone: 843-694-8754
Practice Fax: 843-210-8622

1952256166 — JOSHUA MARCENGILL
Practice Location Address:

1125 E MONTAGUE AVE
NORTH CHARLESTON, SC
29405-4716

Practice Phone: 803-753-1594
Practice Fax:

1417950627 — DR. ERIC THOMAS PRIDE M.D.
Practice Location Address:

3815 FABER PLACE DR
NORTH CHARLESTON, SC
29405-8533

Practice Phone: 843-767-9312
Practice Fax: 843-767-9313

Directions to “EXTENDED FAMILY HOME CARE SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.