Provider Demographics
NPI:1376376160
Name:ANOTHER SIMS ENTERPRISE LLC
Entity type:Organization
Organization Name:ANOTHER SIMS ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENYA
Authorized Official - Middle Name:JATUN
Authorized Official - Last Name:LOMAX-SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-787-2009
Mailing Address - Street 1:215 W ANTRIM DR STE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2329
Mailing Address - Country:US
Mailing Address - Phone:864-787-2009
Mailing Address - Fax:
Practice Address - Street 1:215 W ANTRIM DR STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2329
Practice Address - Country:US
Practice Address - Phone:864-787-2009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care