Provider Demographics
NPI:1437554110
Name:OPEN HANDS NURSING AGENCY LLC
Entity Type:Organization
Organization Name:OPEN HANDS NURSING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DO,ETC,PROVIDER
Authorized Official - Phone:843-944-0019
Mailing Address - Street 1:1951 PISGAH RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-6705
Mailing Address - Country:US
Mailing Address - Phone:843-944-0019
Mailing Address - Fax:843-944-0019
Practice Address - Street 1:1951 PISGAH RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-6705
Practice Address - Country:US
Practice Address - Phone:843-621-3641
Practice Address - Fax:843-944-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-24
Last Update Date:2023-07-24
Deactivation Date:2023-06-14
Deactivation Code:
Reactivation Date:2023-07-24
Provider Licenses
StateLicense IDTaxonomies
SCEX0989251E00000X, 261QA0600X
251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0989Medicaid
NCHC6461OtherNC DHHS
SCIHCP-0420OtherDHEC