# LIFETIME HOME CARE LLC

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

## Provider details

- **NPI number:** 1477319606
- **Authorized official:** HORACE KEARSE (OWNER)
- **Authorized official phone:** (803) 233-2221

## Contact information

- **Practice address:** 1501 MAIN STREET COLUMBIA, SC 29201, 501, COLUMBIA, SC 29201
- **Practice address phone:** (803) 233-2221
- **Mailing address:** 1501 MAIN ST COLUMBIA, SC 29201, 501, COLUMBIA, SC 29201
- **Mailing address phone:** (305) 528-1722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 07/24/2024