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Tiequenccia Mitchell
In Home Supportive Care Agency in Greenville, South Carolina
NPI 1932553591

Tiequenccia Mitchell is a In Home Supportive Care Agency based in Greenville, SC. Tiequenccia Mitchell practices in Greenville, SC. The NPI Number for Tiequenccia Mitchell is 1932553591 and holds a License No. IHCP-0345 (South Carolina).

The current practice location address for Tiequenccia Mitchell is 25 Woods Lake Rd Ste 506, Greenville, SC and can be reached out via phone at 864-552-1496 and via fax at 864-370-7200.

Location: 25 Woods Lake Rd Ste 506, Greenville, SC, 29607-2422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932553591
Provider Name
Tiequenccia Mitchell
Credential
Provider Entity Type
Individual
Gender
Female
Address
25 Woods Lake Rd Ste 506, Greenville, SC, 29607-2422
Phone Number
864-552-1496
Fax Number
864-370-7200
Provider Enumeration Date
04/20/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EX1476 05 SC
IHCP-0345 01 SC DHEC
institution
Provider Business Practice Location Address Details
Address
25 Woods Lake Rd Ste 506
City
Greenville
State
South Carolina
Zip
29607-2767
Phone Number
864-552-1496
Fax Number
864-370-7200
person
Provider Business Mailing Address Details
Address
25 Woods Lake Rd Ste 506
City
Greenville
State
South Carolina
Zip
29607-2767
Phone Number
864-552-1496
Fax Number
864-370-7200
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
IHCP-0345 (South Carolina)
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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
IHCP-0345 (South Carolina)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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