Provider Demographics
NPI:1164046991
Name:OPEN HANDS NURSING TELEHEALTH CARE LLC
Entity Type:Organization
Organization Name:OPEN HANDS NURSING TELEHEALTH CARE LLC
Other - Org Name:OPEN HANDS DOCTORS FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:843-621-3641
Mailing Address - Street 1:1951 PISGAH RD RM 104
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-6705
Mailing Address - Country:US
Mailing Address - Phone:843-621-3641
Mailing Address - Fax:
Practice Address - Street 1:1951 PISGAH RD RM 104
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-6705
Practice Address - Country:US
Practice Address - Phone:843-621-3641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCM063OtherFAMILY MEDICINE, GROUP PRACTICE
SCPG0668Medicaid