Provider Demographics
NPI:1538884333
Name:IMPERIAL HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:IMPERIAL HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:843-499-5181
Mailing Address - Street 1:230 CYPRESS MARSH RD
Mailing Address - Street 2:
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-8456
Mailing Address - Country:US
Mailing Address - Phone:843-823-4047
Mailing Address - Fax:
Practice Address - Street 1:3618 ASHLEY PHOSPHATE RD STE 12A
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-8586
Practice Address - Country:US
Practice Address - Phone:843-823-4047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health