OrganizationActive
Awareness in Home Care and Dme, LLC
NPI 1013858497 · Home Health Aide · Lake City, SC
Provider details
- NPI number
- 1013858497
- Entity type
- Organization
- Primary specialty
- Home Health AideNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Aieshea Clark, Owner(910) 625-5188
Specialties & taxonomies
Nursing Service Related Providers
Practice location
115 N Matthews Rd
Lake City, SC 29560-2309
Phone: (910) 625-5188
Approximate (ZIP-level) locationGet directions
Mailing address
115 N Matthews Rd
Lake City, SC 29560-2309
Registry dates
- Enumerated
- 2026-04-02
- Last updated
- 2026-04-02
- Certified
- 2026-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.