Provider Demographics
NPI:1831651801
Name:HUNT FAMILY HOME CARE
Entity Type:Organization
Organization Name:HUNT FAMILY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-553-6060
Mailing Address - Street 1:4 CARRIAGE LN STE 205
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6049
Mailing Address - Country:US
Mailing Address - Phone:843-553-6060
Mailing Address - Fax:843-300-1141
Practice Address - Street 1:4 CARRIAGE LN STE 205
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6049
Practice Address - Country:US
Practice Address - Phone:843-553-6060
Practice Address - Fax:843-300-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCIHCP-1022Medicaid