Organization
ENSURE HOME CARE OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VELDA SIMMONS (MANGER)
(704) 258-6366
Entity
Organization
Contact information
Practice address
1565 EBENEZER RD, SUITE 140, ROCK HILL, SC 29732-2494
(803) 230-3415
(803) 701-9131
Mailing address
3437 PONDRIDGE CT, CHARLOTTE, NC 28269-2111
(704) 975-2484
(864) 651-1142
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
HC4546
NC
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1762
—
SC
Enumeration date
04/23/2012
Last updated
12/09/2021
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