EXTENDED FAMILY HOME CARE SERVICES (NPI# 1760023501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760023501 |
| Entity Type | Organization |
| Organization Name | EXTENDED FAMILY HOME CARE SERVICES |
| Practice Address |
3800 Rivers Ave Ste A North Charleston SC 29405-7067 |
| Mailing Address |
301 N Gum St Summerville SC 29483-6861 |
| Practice Telephone | 8436089048 |
| Mailing Telephone | 8436089048 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | MRS. KAI-RENAY SCOTT (ADMINISTRATOR) |
| Authorized Official Telephone | 8436089048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
3800 RIVERS AVE STE A |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29405-7067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163572 | Sincerely Divine Home Care LLC | In Home Supportive Care | 3618 Ashley Phosphate Rd Ste 3, North Charleston, SC 29418-8586 | 2020-10-28 |
| 1376069062 | Carolina Personal Touch | In Home Supportive Care | 6296 Rivers Ave Ste 303, North Charleston, SC 29406-4973 | 2017-08-15 |
| 1104361765 | Ebony Mungin | In Home Supportive Care | 3058 Rollins Ct, North Charleston, SC 29406-9776 | 2017-01-05 |
| 1588994966 | We Care Home Care | In Home Supportive Care | 7301 Rivers Avenue, Suite 190, North Charleston, SC 29406-4698 | 2010-01-06 |
| 1417572660 | S.family Homecare | In Home Supportive Care | 4000 Faber Place Dr, North Charleston, SC 29405-8585 | 2020-06-13 |
| 1770136327 | Meca Home Health LLC | In Home Supportive Care | 3058 Rollins Ct, North Charleston, SC 29406-9776 | 2019-07-23 |
| 1811460033 | Heavenly Heart Home Care LLC | In Home Supportive Care | 3236 Landmark Dr Ste 105, North Charleston, SC 29418-8490 | 2019-01-10 |
| 1609380203 | Home Care and Wellness Solutions, LLC | In Home Supportive Care | 6650 Rivers Ave, North Charleston, SC 29406-4809 | 2017-11-20 |
| 1578004388 | Duke Milestone Investments, Inc | In Home Supportive Care | 3294 Ashley Phosphate Rd, Suite 1b, North Charleston, SC 29418-8465 | 2017-03-13 |
| 1659817914 | A Friend for Life, LLC | In Home Supportive Care | 7013 Dorchester Rd, North Charleston, SC 29418-3407 | 2017-01-11 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
Please comment or provide details below to improve the information on EXTENDED FAMILY HOME CARE SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.