Provider Demographics
NPI:1598380412
Name:RUFF, FELICIA D
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:D
Last Name:RUFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 HIDDEN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:WEDGEFIELD
Mailing Address - State:SC
Mailing Address - Zip Code:29168-9523
Mailing Address - Country:US
Mailing Address - Phone:803-468-5364
Mailing Address - Fax:
Practice Address - Street 1:1455 HIDDEN OAKS DR
Practice Address - Street 2:
Practice Address - City:WEDGEFIELD
Practice Address - State:SC
Practice Address - Zip Code:29168-9523
Practice Address - Country:US
Practice Address - Phone:803-468-5364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7299171W00000X, 251J00000X, 172V00000X, 251G00000X, 261QA0600X, 261QC1500X, 261QR0800X, 282E00000X, 372500000X, 372600000X, 374U00000X, 376J00000X, 376K00000X, 253Z00000X
SD7299315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No171W00000XOther Service ProvidersContractor
No251J00000XAgenciesNursing Care
No172V00000XOther Service ProvidersCommunity Health Worker
No251G00000XAgenciesHospice Care, Community Based
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No282E00000XHospitalsLong Term Care Hospital
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No376K00000XNursing Service Related ProvidersNurse's Aide