Provider Demographics
NPI:1891198487
Name:RESTORATIVE HEALTH SERVICES OF SC, LLC
Entity Type:Organization
Organization Name:RESTORATIVE HEALTH SERVICES OF SC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:THIMOLEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-262-7115
Mailing Address - Street 1:2 OFFICE PARK CT
Mailing Address - Street 2:SUITE 201C1
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-5948
Mailing Address - Country:US
Mailing Address - Phone:803-262-7115
Mailing Address - Fax:
Practice Address - Street 1:2 OFFICE PARK CT
Practice Address - Street 2:SUITE 201C1
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-5948
Practice Address - Country:US
Practice Address - Phone:803-262-7115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care