Provider Demographics
NPI:1790011666
Name:BOYD INTENSIVE IN HOME SERVICES
Entity type:Organization
Organization Name:BOYD INTENSIVE IN HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:803-804-4665
Mailing Address - Street 1:2520 BARRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-8939
Mailing Address - Country:US
Mailing Address - Phone:803-804-4665
Mailing Address - Fax:
Practice Address - Street 1:2500 NC 742 S
Practice Address - Street 2:SUITE B
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-8325
Practice Address - Country:US
Practice Address - Phone:803-804-4665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No385H00000XRespite Care FacilityRespite Care
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care