Organization
NCSC HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSUF MUHAMMAD (PRESIDENT)
(803) 909-9428
Entity
Organization
Contact information
Practice address
454 ANDERSON RD S, ROCK HILL, SC 29730-3392
(980) 200-1933
(803) 693-5210
Mailing address
4417 GATESMILLS AVE, CHARLOTTE, NC 28213-4341
(803) 909-9428
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0596
SC
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1460
—
SC
Enumeration date
03/21/2016
Last updated
03/15/2024
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