Provider Demographics
NPI:1720502479
Name:SC HOME HEALTH CARE
Entity Type:Organization
Organization Name:SC HOME HEALTH CARE
Other - Org Name:ERICA Q COOPER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:Q
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MAED, APM
Authorized Official - Phone:901-871-9270
Mailing Address - Street 1:2149 PURPLE LEAF LN
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-5365
Mailing Address - Country:US
Mailing Address - Phone:901-871-9270
Mailing Address - Fax:901-320-3703
Practice Address - Street 1:2149 PURPLE LEAF LN
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-5365
Practice Address - Country:US
Practice Address - Phone:901-871-9270
Practice Address - Fax:901-320-3703
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ERICA Q COOPER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN170004393251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health