Affectionately Devoted Home Health
Organization Active NPI Meals Provider · Myrtle Beach, SC
NPI 1104773472 · NPPES record last updated Mar 14, 2026
Key facts
- NPI
- 1104773472
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Meals Provider 174200000X
- Legal business name
- AFFECTIONATELY DEVOTED HOME HEALTH
- Practice address
- 2411 N Oak St Ste 205F
Myrtle Beach, SC 29577-3164 - Phone
- (888) 304-2344
- Fax
- (888) 304-2344
- NPI assigned
- Mar 14, 2026
- Organization subpart
- No
Authorized official
- Name
- Shanyel Gibson
- Title
- Ceo
- Phone
- (888) 304-2344
National Provider Directory
Locations
2411 N Oak St
Ste 205F
Myrtle Beach, SC 29577
Phone (843) 212-6995
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | Yes | ||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Home Delivered Meals | 332U00000X |
Addresses
Primary practice location
2411 N Oak St Ste 205F
Myrtle Beach, SC 29577-3164
Mailing address
2411 N Oak St Ste 205F
Myrtle Beach, SC 29577-3164
Phone (888) 304-2344
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All providers in Myrtle Beach, SC · Meals Provider 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 Mar 14, 2026. 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.