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Active Sc Pca, Inc.
Home Health Agency in Goose Creek, South Carolina
NPI 1023158151

Active Sc Pca, Inc. is a Home Health Agency based in Trevose, SC. Active Sc Pca, Inc. practices in Goose Creek, SC. The NPI Number for Active Sc Pca, Inc. is 1023158151 and holds a License No. (South Carolina).

The current practice location address for Active Sc Pca, Inc. is 104 Springhall Dr, Goose Creek, SC and can be reached out via phone at 843-553-1665 and via fax at 843-553-5932.

Location: 104 Springhall Dr, Goose Creek, SC, 19053-6964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023158151
Provider Name
Active Sc Pca, Inc.
Credential
Provider Entity Type
Organization
Address
104 Springhall Dr, Goose Creek, SC, 19053-6964
Phone Number
843-553-1665
Fax Number
843-553-5932
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EX0419 05 SC
institution
Provider Business Practice Location Address Details
Address
104 Springhall Dr
City
Goose Creek
State
South Carolina
Zip
29445-5335
Phone Number
843-553-1665
Fax Number
843-553-5932
person
Provider Business Mailing Address Details
Address
104 Springhall Dr
City
Goose Creek
State
South Carolina
Zip
29445-5335
Phone Number
843-553-1665
Fax Number
843-553-5932
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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