Provider Demographics
NPI:1356691620
Name:WE CARE IN HOME CARE AGENCY
Entity type:Organization
Organization Name:WE CARE IN HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-361-2729
Mailing Address - Street 1:1 CHICK SPRINGS ROAD
Mailing Address - Street 2:SUITE 304A
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-4972
Mailing Address - Country:US
Mailing Address - Phone:864-552-1495
Mailing Address - Fax:864-552-1496
Practice Address - Street 1:1 CHICK SPRINGS ROAD
Practice Address - Street 2:SUITE 304A
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-4972
Practice Address - Country:US
Practice Address - Phone:864-552-1495
Practice Address - Fax:864-552-1496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX1158Medicaid