OrganizationActive
At Home Senior Care
NPI 1104212802 · Home Health Agency · Newberry, SC
Provider details
- NPI number
- 1104212802
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Authorized official
- Rubie Williams, RN Supervisor
- License
- 92255 (SC)
Practice location
1700 Main St
Newberry, SC 29108-3548
Phone: (803) 801-0611
Fax: (803) 753-9391
Mailing address
1700 Main St
Newberry, SC 29108-3548
Registry dates
- Enumerated
- 2015-04-09
- Last updated
- 2015-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.