NPI 1740705649 · live from the CMS NPI Registry
5 Star Home Care INC
In Home Supportive Care in Myrtle Beach, SC. National Provider Identifier 1740705649, active.
NPI record
| NPI | 1740705649 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | In Home Supportive Care 253Z00000X |
| Practice location | 4703 Highway 17 Byp S, Myrtle Beach, SC 29577 |
| Practice phone | 843-633-3333 |
| Mailing address | 4703 Highway 17 Byp S Ste B, Myrtle Beach, SC 29577 |
| Enumerated | August 11, 2017 |
| Last updated | April 26, 2023 |
| Authorized official | Albert Ivatorov, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health | 251E00000X | Pending (SC) |
| In Home Supportive Care primary | 253Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.