Provider Demographics
NPI:1154117752
Name:THE TRIBE OF SOUTH CAROLINA HOME CARE LLC
Entity type:Organization
Organization Name:THE TRIBE OF SOUTH CAROLINA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGROON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:864-914-6155
Mailing Address - Street 1:139 S MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WOODRUFF
Mailing Address - State:SC
Mailing Address - Zip Code:29388-1849
Mailing Address - Country:US
Mailing Address - Phone:864-670-9029
Mailing Address - Fax:
Practice Address - Street 1:139 S MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:WOODRUFF
Practice Address - State:SC
Practice Address - Zip Code:29388-1849
Practice Address - Country:US
Practice Address - Phone:864-670-9029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care