Provider Demographics
NPI:1134491616
Name:PH HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:PH HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:D
Authorized Official - Last Name:BIRMINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:BSW, LNHA
Authorized Official - Phone:864-991-8414
Mailing Address - Street 1:4741 HIGHWAY 153 STE B
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-9161
Mailing Address - Country:US
Mailing Address - Phone:864-991-8414
Mailing Address - Fax:864-991-8404
Practice Address - Street 1:4741 HIGHWAY 153 STE B
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642-9161
Practice Address - Country:US
Practice Address - Phone:864-991-8414
Practice Address - Fax:864-991-8404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC421614Medicare Oscar/Certification