MAE RANDOLPH
NPI 1184279903
Technician - Attendant Care Provider in Holly Hill, SC

Active since August 08, 2019
200 DECENDANT DR, HOLLY HILL, SC 29059(803) 496-0332 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Technician
  • Attendant Care Provider

About MAE RANDOLPH

This page provides the complete NPI Profile along with additional information for Mae Randolph, a provider established in Holly Hill, South Carolina with a medical specialization in Technician, focusing in attendant care provider . The healthcare provider is registered in the NPI registry with number 1184279903 assigned on August 2019. The practitioner's primary taxonomy code is 3747A0650X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1184279903 Verify this NPI
Provider Name
MAE RANDOLPH
Gender
Female
Entity Type
Individual
Location Address
200 DECENDANT DR HOLLY HILL, SC 29059
Location Phone
(803) 496-0332
Mailing Address
200 DECENDANT DR HOLLY HILL, SC 29059
Is Sole Proprietor?
Yes
Enumeration Date
08-08-2019
Last Update Date
08-08-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician Attendant Care Provider

Taxonomy Code
3747A0650X
Type
Nursing Service Related Providers
Taxonomy Description
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184279903, enumerated as an "individual" on August 08, 2019.

The provider is located at 200 DECENDANT DR HOLLY HILL, SC 29059 and the phone number is (803) 496-0332.

Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.