Provider Demographics
NPI:1942877287
Name:EPIC CARE HEALTH LLC
Entity Type:Organization
Organization Name:EPIC CARE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:STONE-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:803-924-3839
Mailing Address - Street 1:2302 QUENTIN RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2414
Mailing Address - Country:US
Mailing Address - Phone:417-771-5609
Mailing Address - Fax:914-478-6949
Practice Address - Street 1:1012 MARKET ST STE 307
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-6537
Practice Address - Country:US
Practice Address - Phone:803-716-3742
Practice Address - Fax:803-321-8848
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EPIC CARE HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty