Provider Demographics
NPI:1518364215
Name:ALL CARE RESIDENTIAL LLC.
Entity Type:Organization
Organization Name:ALL CARE RESIDENTIAL LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:J
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-276-4676
Mailing Address - Street 1:361 BUTLER RD
Mailing Address - Street 2:
Mailing Address - City:LYMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29365-9668
Mailing Address - Country:US
Mailing Address - Phone:864-276-4676
Mailing Address - Fax:
Practice Address - Street 1:361 BUTLER RD
Practice Address - Street 2:
Practice Address - City:LYMAN
Practice Address - State:SC
Practice Address - Zip Code:29365-9668
Practice Address - Country:US
Practice Address - Phone:864-276-4676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC253ZOOOOOX253Z00000X
SC311ZAO620X311ZA0620X
SC347C00000X347C00000X
SC385H00000X385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care