MEDICARE: T&D HOME CARE SERVICE,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	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1760330807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T&D HOME CARE SERVICE,LLC

Provider Business Mailing Address
First Line	:	413 SPRINGWATER LOOP
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-2930
Country	:	US
Telephone Number	:	980-355-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	413 SPRINGWATER LOOP
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-2930
Country	:	US
Telephone Number	:	980-355-1700
Fax Number	:

Authorized Official
Title or Position	:	OWNER / ADMINISTRATOR
Name	:	ENKELEJDA AJDARI
Credential	:
Telephone Number	:	980-355-1700

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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