# EVERLASTING ARMS HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104291939
- **Authorized official:** TYRONDA ROSS (OWNER/CEO)
- **Authorized official phone:** (843) 680-6859

## Contact information

- **Practice address:** 301C EAST BLVD, CHESTERFIELD, SC 29709-1735
- **Practice address phone:** (843) 623-3776
- **Practice address fax:** (843) 623-9851
- **Mailing address:** PO BOX 855, CHESTERFIELD, SC 29709-0855
- **Mailing address phone:** (843) 680-6859
- **Mailing address fax:** (843) 623-9851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/04/2015
- **Last updated:** 01/10/2022