Provider Demographics
NPI:1417473398
Name:CARESOUTH HHA HOLDINGS OF SOUTH CAROLINA, LLC
Entity Type:Organization
Organization Name:CARESOUTH HHA HOLDINGS OF SOUTH CAROLINA, LLC
Other - Org Name:ENHABIT HOME HEALTH - BLUFFTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:JOLLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-239-6500
Mailing Address - Street 1:6688 N CENTRAL EXPRESSWAY
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3950
Mailing Address - Country:US
Mailing Address - Phone:214-239-6500
Mailing Address - Fax:214-239-6581
Practice Address - Street 1:1 WESTBURY PARKWAY
Practice Address - Street 2:SUITE 250
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-8861
Practice Address - Country:US
Practice Address - Phone:843-837-4404
Practice Address - Fax:843-628-0699
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENHABIT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-22
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health