NPI 1700730496 · live from the CMS NPI Registry
Carolina Consortium Of Care, LLC
Home Health Aide in Camden, SC. National Provider Identifier 1700730496, active.
NPI record
| NPI | 1700730496 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health Aide 374U00000X |
| Practice location | 704 Saint Paul Rd, Camden, SC 29020 |
| Practice phone | 270-779-9360 |
| Mailing address | 175 Bishops Gate Rd, Christiansburg, VA 24073 |
| Enumerated | February 20, 2026 |
| Last updated | February 20, 2026 |
| Authorized official | Erick Bradshaw, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Pastoral | 101YP1600X | — |
| Counselor, Professional | 101YP2500X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Dietitian, Registered | 133V00000X | — |
| Health & Wellness Coach | 171400000X | — |
| Nurse's Aide | 376K00000X | — |
| Home Health Aide primary | 374U00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.