Provider Demographics
NPI:1609442789
Name:MOMSCARE
Entity Type:Organization
Organization Name:MOMSCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:NARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-991-5991
Mailing Address - Street 1:201 ROCKY SLOPE RD APT 704
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3951
Mailing Address - Country:US
Mailing Address - Phone:864-991-5991
Mailing Address - Fax:
Practice Address - Street 1:201 HENRY PL
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-3208
Practice Address - Country:US
Practice Address - Phone:864-991-5991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-31
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherNA