Care 1 Seniors Center

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

CARE 1 SENIORS CENTER

Practice address

178 Beretta Dr
Eutawville, SC 29048-8600

Phone

(843) 367-3431

Fax

(803) 888-4066

NPI assigned

Mar 25, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer N DavisNPI 1205689809

Title

Sr. Care Coordinator / Owner

Phone

(843) 367-3431

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer N Davis, IN HOME CARE PROVIDE

  • Attendant Care Provider
  • Eutawville, SC
  • NPI 1205689809
  NPD Authorized official

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1750183588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 BERETTA DR",
            "city": "EUTAWVILLE",
            "state": "SC",
            "postal_code": "290488600",
            "telephone_number": "843-367-3431",
            "fax_number": "803-888-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 BERETTA DR",
            "city": "EUTAWVILLE",
            "state": "SC",
            "postal_code": "290488600",
            "telephone_number": "843-367-3431",
            "fax_number": "803-888-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE 1 SENIORS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SR. CARE COORDINATOR / OWNER",
        "authorized_official_telephone_number": "843-367-3431",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristianna L Bordelon, IBCLC
• Kelsey Gainey Campbell, LPN
• Jennifer N Davis, IN HOME CARE PROVIDE
• Delta Palms Assisted Living LLC
• Vernell Dottery
• Eutawville Pharmacy
• Shakelia Fogle

• Home Health Aide in Eutawville, SC
• Providers in Eutawville, SC by specialty
• Home Health Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.