Provider Demographics
NPI:1407429459
Name:GREENVILLE SC CAREGIVING LLC
Entity Type:Organization
Organization Name:GREENVILLE SC CAREGIVING LLC
Other - Org Name:CORNERSTONE CAREGIVING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHANDLER
Authorized Official - Middle Name:
Authorized Official - Last Name:MINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-400-2625
Mailing Address - Street 1:1 CALEDON CT STE D
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-3192
Mailing Address - Country:US
Mailing Address - Phone:864-203-4178
Mailing Address - Fax:
Practice Address - Street 1:530 HOWELL RD STE 107
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-2000
Practice Address - Country:US
Practice Address - Phone:864-203-4178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CORNERSTONE CAREGIVING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-19
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care