Provider Demographics
NPI:1346399987
Name:CONSTANTLY CARING MEDICAL SERVICES
Entity Type:Organization
Organization Name:CONSTANTLY CARING MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAGLES-MANGRUM
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW, MA
Authorized Official - Phone:864-275-2728
Mailing Address - Street 1:218A S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN INN
Mailing Address - State:SC
Mailing Address - Zip Code:29644-1912
Mailing Address - Country:US
Mailing Address - Phone:864-862-7353
Mailing Address - Fax:864-408-9112
Practice Address - Street 1:218A S MAIN ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN INN
Practice Address - State:SC
Practice Address - Zip Code:29644-1912
Practice Address - Country:US
Practice Address - Phone:864-862-7353
Practice Address - Fax:864-408-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE2919Medicaid