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

Roosevelt Stackhouse Jr., RN

Individual provider Home Health Registered Nurse · NPI 1225455074

Roosevelt Stackhouse Jr., RN is a Home Health Registered Nurse in Florence, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2014
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

1705 W Evans St
Florence, SC 29501-3331
Phone: (843) 774-1577
Fax: (843) 774-1047
Show map & directions

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

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 37318 (SC)

Record details

NPI number1225455074
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedMarch 18, 2014
Last updated in NPPESMarch 18, 2014
Mailing addressPo Box 648, 521 Gilchrist Road, Mullins, SC 29574-0648

Other providers in Florence