Quentin Levan McClintock
Individual provider Active NPI In Home Supportive Care Agency · Wellford, SC
NPI 1891327508 · NPPES record last updated Feb 10, 2020
Key facts
- NPI
- 1891327508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- IHCP-1138 (SC)
- Practice address
- 10545 Greenville Hwy
Wellford, SC 29385-9541 - Phone
- (864) 303-4052
- Fax
- (864) 469-3064
- NPI assigned
- Feb 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IHCP-1138 | SC | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angels Best Home Care LLC | In Home Supportive Care | Current |
Accepting new patients |
Locations
10545 Greenville Hwy
Wellford, SC 29385
Phone (864) 303-4052
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | IHCP-1138 | SC | |
| In Home Supportive Care Agency | 253Z00000X | IHCP-1138 | SC | Yes |
Addresses
Primary practice location
10545 Greenville Hwy
Wellford, SC 29385-9541
Mailing address
10545 Greenville Hwy
Wellford, SC 29385-9541
Phone (864) 303-4052
Other providers in Wellford, SC
- Emily Elizabeth Godwin
- Robert Harris
- Hope Remains Youth Ranch
- Tara Kennedy
- Margaret B Logan
- Misty C Petras
- Ebony Reid
- Aundra Christina Scott
- Holly Corvette Scott
- Serenity Healthcare Agency LLC
All providers in Wellford, SC · In Home Supportive Care 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 Feb 10, 2020. 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.