Organization
ENLIGHTENED HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LITTMAN LPN (OWNER)
(864) 202-6968
Entity
Organization
Contact information
Practice address
309 SE MAIN ST STE 204, SIMPSONVILLE, SC 29681-2696
(864) 202-6968
Mailing address
309 SE MAIN ST STE 204, SIMPSONVILLE, SC 29681-2696
(864) 202-6968
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251T00000X
PACE Provider Organization
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1889
—
SC
Enumeration date
10/23/2020
Last updated
10/23/2020
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