MEDICARE: FOREVER FRIENDS AT HOME CARE

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1992643944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREVER FRIENDS AT HOME CARE

Provider Business Mailing Address
First Line	:	1501 MAIN ST STE 501
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-5801
Country	:	US
Telephone Number	:	803-360-3995
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 MAIN ST STE 501
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-5801
Country	:	US
Telephone Number	:	803-360-3995
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	CHRYSTAL D JENKINS
Credential	:	LPN
Telephone Number	:	803-360-3995

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “FOREVER FRIENDS AT HOME CARE ” Practice Location

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