Provider Demographics
NPI:1639995145
Name:ASSISTING NEED'S HOME HEALTH CARE
Entity type:Organization
Organization Name:ASSISTING NEED'S HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:CRADEJA
Authorized Official - Middle Name:SHOVON
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-319-7055
Mailing Address - Street 1:715 KING AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4332
Mailing Address - Country:US
Mailing Address - Phone:843-319-7055
Mailing Address - Fax:
Practice Address - Street 1:202 GREGG ST
Practice Address - Street 2:
Practice Address - City:BISHOPVILLE
Practice Address - State:SC
Practice Address - Zip Code:29010-1624
Practice Address - Country:US
Practice Address - Phone:843-319-7055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-29
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health