Provider Demographics
NPI:1255842621
Name:A REMEDY HOME CARE
Entity Type:Organization
Organization Name:A REMEDY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:CHALK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:864-804-3002
Mailing Address - Street 1:7281 NEW CUT RD
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-7157
Mailing Address - Country:US
Mailing Address - Phone:864-804-3002
Mailing Address - Fax:
Practice Address - Street 1:450 PARTNERS LN
Practice Address - Street 2:
Practice Address - City:ROEBUCK
Practice Address - State:SC
Practice Address - Zip Code:29376-2767
Practice Address - Country:US
Practice Address - Phone:864-804-3002
Practice Address - Fax:864-529-9743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCIHCP-0717253Z00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care