NPI 1104212802 · live from the CMS NPI Registry
At Home Senior Care
Home Health in Newberry, SC. National Provider Identifier 1104212802, active.
NPI record
| NPI | 1104212802 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 1700 Main St, Newberry, SC 29108 |
| Practice phone | 803-801-0611 |
| Enumerated | April 9, 2015 |
| Last updated | April 9, 2015 |
| Authorized official | Rubie Williams, RN Supervisor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | 92255 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.