# ENSURE HOME CARE OF SOUTH CAROLINA

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

## Provider details

- **NPI number:** 1265799639
- **Authorized official:** VELDA SIMMONS (MANGER)
- **Authorized official phone:** (704) 258-6366

## Contact information

- **Practice address:** 1565 EBENEZER RD, SUITE 140, ROCK HILL, SC 29732-2494
- **Practice address phone:** (803) 230-3415
- **Practice address fax:** (803) 701-9131
- **Mailing address:** 3437 PONDRIDGE CT, CHARLOTTE, NC 28269-2111
- **Mailing address phone:** (704) 975-2484
- **Mailing address fax:** (864) 651-1142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | HC4546 | NC | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/23/2012
- **Last updated:** 12/09/2021