Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Regina Rose Life Center

Organization In Home Supportive Care Agency · NPI 1366339327

Regina Rose Life Center is an In Home Supportive Care Agency in Goose Creek, South Carolina. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

100 Crowfield Blvd
Goose Creek, SC 29445-5337
Phone: (843) 409-8520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1366339327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Reid — Ceo · (843) 409-8520
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address100 Crowfield Blvd, Goose Creek, SC 29445-5337

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