Provider Demographics
NPI:1710541867
Name:ADMINISTER IN HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:ADMINISTER IN HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KEYATTA
Authorized Official - Middle Name:SHARDAI
Authorized Official - Last Name:BIGSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-529-4250
Mailing Address - Street 1:145 N CHURCH ST UNIT 108
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-5146
Mailing Address - Country:US
Mailing Address - Phone:864-707-3900
Mailing Address - Fax:864-208-3392
Practice Address - Street 1:145 N CHURCH ST UNIT 108
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-5146
Practice Address - Country:US
Practice Address - Phone:864-707-3900
Practice Address - Fax:864-208-3392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No385H00000XRespite Care FacilityRespite Care