Provider Demographics
NPI:1992534465
Name:A SISTERS LOVE HOME CARE LLC
Entity type:Organization
Organization Name:A SISTERS LOVE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CEMEKA
Authorized Official - Middle Name:LATICE
Authorized Official - Last Name:EVANS-POOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-606-0302
Mailing Address - Street 1:201 OAKBORO LN
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-7095
Mailing Address - Country:US
Mailing Address - Phone:864-505-0784
Mailing Address - Fax:
Practice Address - Street 1:6 SUNBELT BUSINESS PARK DR
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-4529
Practice Address - Country:US
Practice Address - Phone:864-606-0302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care