CAROLINA COUNTRY CARE IN-HOME LLC NPI 1285164905

NPI Information

NPI: 1285164905
Provider Name: CAROLINA COUNTRY CARE IN-HOME LLC

Other Name: CINDY L. JACKSON

Classification: Registered Nurse - 163WC1600X
Entity Type: Organization

Specialization: Continuing Education/Staff Development

Address:
992 MANER DR
ALLENDALE, SC
ZIP 29810
Phone: (912) 682-7892
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CAROLINA COUNTRY CARE IN-HOME LLC is a continuing education/staff development registered nurse in Allendale, SC. CAROLINA COUNTRY CARE IN-HOME LLC NPI is 1285164905. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cindy L. Jackson.

The provider's business location address is:

992 MANER DR
ALLENDALE, SC
ZIP 29810-334
Phone: (912) 682-7892

The provider's authorized official is Cindy L Jackson .
The authorized official title is Administrator and has the following contact phone number (912) 682-7892.

The enumeration date for this NPI number is 6/14/2017 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	163WC1600X	Registered Nurse	Continuing Education/Staff Development	Yes
2	251B00000X	Case Management		No
3	251E00000X	Home Health		No
4	251J00000X	Nursing Care		No
5	253Z00000X	In Home Supportive Care		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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