Organization · NPI-2
Carolina Nuclear Group, LLC
Home Health · Aiken, SC
NPI number1710708599
StatusActive
Last updated in NPPESAug 28, 2025
Details
- NPI
- 1710708599
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Nuclear Group, LLC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2024
- Certification date
- Aug 20, 2025
- Last updated
- Aug 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 251J00000X | Nursing Care | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 251B00000X | Case Management | – | – |
Practice location
150 Coach Light Way SwSuite 200
Aiken, SC 29803
Phone 803-642-2717 · Fax 803-887-1115
Mailing address
725 Riding Ridge CtAiken, SC 29801-0686
Phone 803-257-0894
Authorized official
Carlton Brooks Shealy
Manager
8032570894
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