Provider Demographics
NPI:1164020285
Name:THE DENMAR GROUP LLC
Entity Type:Organization
Organization Name:THE DENMAR GROUP LLC
Other - Org Name:DENMAR HOME CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERIDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-992-8145
Mailing Address - Street 1:136 FORUM DR STE 4
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7980
Mailing Address - Country:US
Mailing Address - Phone:803-992-8145
Mailing Address - Fax:
Practice Address - Street 1:8720 WINDSOR LAKE BLVD APT 1022
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-2619
Practice Address - Country:US
Practice Address - Phone:803-606-4846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-12
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care