Provider Demographics
NPI:1639944424
Name:ACQUIRING QUALITY CARE SC. LLC
Entity Type:Organization
Organization Name:ACQUIRING QUALITY CARE SC. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINI
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-205-1630
Mailing Address - Street 1:410 VETERANS RD STE G
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-1503
Mailing Address - Country:US
Mailing Address - Phone:803-205-1630
Mailing Address - Fax:803-205-1631
Practice Address - Street 1:932 KNOX ABBOTT DR
Practice Address - Street 2:
Practice Address - City:CAYCE
Practice Address - State:SC
Practice Address - Zip Code:29033-3320
Practice Address - Country:US
Practice Address - Phone:803-205-1630
Practice Address - Fax:803-205-1631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCIHCP1734Medicaid