Affectionately Devoted Home Health
Meals in Myrtle Beach, SC. Organization (NPI-2).
NPI number1104773472
StatusActive
Last updated in NPPESMar 14, 2026
Details
- NPI
- 1104773472
- Entity type
- Organization (NPI-2)
- Legal business name
- Affectionately Devoted Home Health
- Organization subpart
- No
- Enumeration date
- Mar 14, 2026
- Certification date
- Mar 14, 2026
- Last updated
- Mar 14, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174200000X | Meals | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 332U00000X | Home Delivered Meals | – | – |
Practice location
2411 N Oak St Ste 205fMyrtle Beach, SC 29577-3164
Phone 888-304-2344 · Fax 888-304-2344
Mailing address
2411 N Oak St Ste 205fMyrtle Beach, SC 29577-3164
Phone 888-304-2344 · Fax 888-304-2344
Authorized official
Shanyel Gibson
Ceo
8883042344
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