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NPI Code Detail

MEDICARE: EIKONGROUP

MEDICARE: EIKONGROUP
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
1172V00000XCommunity Health Worker
2251S00000XCommunity/Behavioral Health Agency
3253Z00000XIn Home Supportive Care Agency
4261QM0855XAdolescent and Children Mental Health Clinic/Center
5251E00000XHome Health Agency

General Provider Information

NPI Number : 1821669524
Entity Type Code : Organization
Provider Name (Legal Business Name) : EIKONGROUP
Provider Business Mailing Address
First Line : 566 RIMER POND RD
Second Line :
City : BLYTHEWOOD
State : SC
Zip : 29016-9448
Country : US
Telephone Number : 803-730-4413
Fax Number :
Provider Business Practice Location Address
First Line : 300 LONG POINTE LN
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-7543
Country : US
Telephone Number : 803-730-4413
Fax Number :
Authorized Official
Title or Position : CEO
Name : JIMME ARMSTRONG
Credential :
Telephone Number : 803-730-4413
Provider Enumeration Date : 07/05/2021
Last Update Date : 02/04/2025

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Directions to “EIKONGROUP ” Practice Location

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