Provider Demographics
NPI:1689027294
Name:OM GROUP OF COMPANIES
Entity Type:Organization
Organization Name:OM GROUP OF COMPANIES
Other - Org Name:WE CARE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRUTIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-488-2972
Mailing Address - Street 1:800 LEGION ST
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-4825
Mailing Address - Country:US
Mailing Address - Phone:843-488-2972
Mailing Address - Fax:843-488-2973
Practice Address - Street 1:800 LEGION ST
Practice Address - Street 2:SUITE 101B
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-4825
Practice Address - Country:US
Practice Address - Phone:843-488-2972
Practice Address - Fax:843-488-2973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCIHCP-0122253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX1403OtherSCDHHS COMMUNITY LONG TERM CARE PROVIDER