Provider Demographics
NPI:1205192572
Name:TOTAL CARE PLUS
Entity type:Organization
Organization Name:TOTAL CARE PLUS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-575-4100
Mailing Address - Street 1:107 INDIAN RIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAURENS
Mailing Address - State:SC
Mailing Address - Zip Code:29360-6645
Mailing Address - Country:US
Mailing Address - Phone:864-575-4100
Mailing Address - Fax:864-575-4101
Practice Address - Street 1:107 INDIAN RIDGE DRIVE
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:SC
Practice Address - Zip Code:29360-6645
Practice Address - Country:US
Practice Address - Phone:864-575-4100
Practice Address - Fax:864-575-4101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty