# KIDSCARE HOME HEALTH OF SOUTH CAROLINA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1942952932
- **Authorized official:** KELLY KASKAVAGE (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (214) 575-2999

## Contact information

- **Practice address:** 4105 FABER PLACE DR STE 420, NORTH CHARLESTON, SC 29405-8594
- **Practice address phone:** (843) 894-7347
- **Practice address fax:** (843) 278-8599
- **Mailing address:** 4201 SPRING VALLEY RD STE 600, DALLAS, TX 75244-3631
- **Mailing address phone:** (866) 919-3240
- **Mailing address fax:** (877) 300-7394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2022
- **Last updated:** 12/10/2024