Provider Demographics
NPI:1316901317
Name:CARING NEIGHBORS HOME HEALTH AGENCY
Entity type:Organization
Organization Name:CARING NEIGHBORS HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:L
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-712-0373
Mailing Address - Street 1:102 US HIGHWAY 321 BYP N
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29180-9251
Mailing Address - Country:US
Mailing Address - Phone:803-712-0373
Mailing Address - Fax:803-635-1760
Practice Address - Street 1:102 US HIGHWAY 321 BYP N
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:SC
Practice Address - Zip Code:29180-9251
Practice Address - Country:US
Practice Address - Phone:803-712-0373
Practice Address - Fax:803-635-1760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHHA132251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC470813Medicaid
SC=========003OtherBCBS
SC427081Medicare ID - Type Unspecified