Provider Demographics
NPI:1023521275
Name:CAREGIVERS OF THE UPSTATE, INC.
Entity type:Organization
Organization Name:CAREGIVERS OF THE UPSTATE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:LADAWN
Authorized Official - Last Name:SKELTON-BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-229-1488
Mailing Address - Street 1:720 MONTAGUE AVE # 282
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-1439
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:712A MONTAGUE AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649-1439
Practice Address - Country:US
Practice Address - Phone:864-229-1488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-09
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care