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STATE OF SOUTH CAROLINA NPI 1891713723


NPI Information

NPI: 1891713723
Provider Name: STATE OF SOUTH CAROLINA

Doing Business As: SC DHEC PEE DEE HOME HEALTH SERVICES

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
1705 W EVANS ST
FLORENCE, SC
ZIP 29501
Phone: (843) 661-4762
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STATE OF SOUTH CAROLINA is a home health in Florence, SC. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. STATE OF SOUTH CAROLINA NPI is 1891713723. The provider is registered as an organization entity type.
The provider Is Doing Business As Sc Dhec Pee Dee Home Health Services.

The provider's business location address is:

1705 W EVANS ST
FLORENCE, SC
ZIP 29501-331
Phone: (843) 661-4762
Fax: (843) 661-4790

The provider's authorized official is Lee A Kirkpatrick .
The authorized official title is Director/home Health Administrator and has the following contact phone number (803) 576-2916.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/11/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthHHA-009SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1153550OTHERSOUTH CAROLINAUNISON HEALTH PLAN OF SC
2395450MEDICAIDSOUTH CAROLINA
3=========092OTHERSOUTH CAROLINATRICARE PROVIDER NUMBER
4=========065OTHERSOUTH CAROLINABCBS OF SC
5427854MEDICARE OSCAR/CERTIFICATION
620021671OTHERSOUTH CAROLINASELECT HEALTH PROVIDER

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.