Provider Demographics
NPI:1417983263
Name:CARING HANDS HOME CARE
Entity Type:Organization
Organization Name:CARING HANDS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:B
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:864-224-6953
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:
Mailing Address - City:HONEA PATH
Mailing Address - State:SC
Mailing Address - Zip Code:29654-0300
Mailing Address - Country:US
Mailing Address - Phone:864-224-6953
Mailing Address - Fax:864-224-6992
Practice Address - Street 1:2406 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-3267
Practice Address - Country:US
Practice Address - Phone:864-224-6953
Practice Address - Fax:864-224-6992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0581Medicaid