Provider Demographics
NPI:1659478931
Name:AIR-CARE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:AIR-CARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:H
Authorized Official - Last Name:WADICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-850-6293
Mailing Address - Street 1:PO BOX 678
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29641-0678
Mailing Address - Country:US
Mailing Address - Phone:864-850-6293
Mailing Address - Fax:864-855-9821
Practice Address - Street 1:633 SACO LOWELL RD
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3879
Practice Address - Country:US
Practice Address - Phone:864-850-6293
Practice Address - Fax:864-855-9821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC039 123929332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDME696Medicaid
SC0616340001Medicare NSC