Provider Demographics
NPI:1558406090
Name:CARING HANDS HEALTH CARE INC
Entity Type:Organization
Organization Name:CARING HANDS HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OBIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:BACON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-726-5669
Mailing Address - Street 1:PO BOX 909
Mailing Address - Street 2:107 D EAST MAIN STREET
Mailing Address - City:RIDGELAND
Mailing Address - State:SC
Mailing Address - Zip Code:29936
Mailing Address - Country:US
Mailing Address - Phone:843-726-5669
Mailing Address - Fax:843-726-8628
Practice Address - Street 1:107 D EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936
Practice Address - Country:US
Practice Address - Phone:843-726-5669
Practice Address - Fax:843-726-8628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC060288251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCC74526CMedicaid
SCEX0785OtherPROVIDER