New Life Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NEW LIFE HOME CARE LLC

Practice address

4423 Devine St Ste C
Columbia, SC 29205-3611

Phone

(803) 708-4088

Fax

(803) 451-0109

NPI assigned

Nov 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tyrell Letwan Davis

Title

Manager

Phone

(803) 351-3903

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1104462241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 TROTTER RD",
            "city": "HOPKINS",
            "state": "SC",
            "postal_code": "290618211",
            "telephone_number": "803-708-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 DEVINE ST STE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053611",
            "telephone_number": "803-708-4088",
            "fax_number": "803-451-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TYRELL",
        "authorized_official_middle_name": "LETWAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-351-3903"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.