At Home Senior Care
Organization Active NPI Home Health Agency · Newberry, SC
NPI 1104212802 · NPPES record last updated Apr 9, 2015
Key facts
- NPI
- 1104212802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 92255 (SC)
- Legal business name
- AT HOME SENIOR CARE
- Practice address
- 1700 Main St
Newberry, SC 29108-3548 - Phone
- (803) 801-0611
- Fax
- (803) 753-9391
- NPI assigned
- Apr 9, 2015
- Organization subpart
- No
Authorized official
- Name
- Rubie Williams, RN
- Title
- RN Supervisor
- Phone
- (803) 801-0611
Practitioners 1
National Provider Directory
Locations
1700 Main St
Newberry, SC 29108
Phone (803) 920-4265
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 92255 | SC | Yes |
Addresses
Primary practice location
1700 Main St
Newberry, SC 29108-3548
Mailing address
1700 Main St
Newberry, SC 29108-3548
Phone (803) 801-0611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX1053 | Medicaid | SC |
Other providers in Newberry, SC
- All-Grace Hospice, LLC
- Audrey S Alleyne
- Jennifer Frick Amick
- Alexandria Anderson
- Angel Care Home Care
- At Home Senior Care Hospice
- Ilya M Averbuch
- Erwin Renwick Baker
- Mary E Baker
- Kelly Bannister
All providers in Newberry, SC · Home Health Agency in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.