Provider Demographics
NPI:1316612179
Name:INLETCARE MVDA LLC
Entity type:Organization
Organization Name:INLETCARE MVDA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:YATISH
Authorized Official - Middle Name:H
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-299-0291
Mailing Address - Street 1:5180 HORRY DR
Mailing Address - Street 2:UNIT A
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-5241
Mailing Address - Country:US
Mailing Address - Phone:843-299-0291
Mailing Address - Fax:843-299-0293
Practice Address - Street 1:5180 HORRY DR
Practice Address - Street 2:UNIT A
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-5241
Practice Address - Country:US
Practice Address - Phone:843-299-0291
Practice Address - Fax:843-299-0293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty