Individual ProviderCassidy GrimsleyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressSc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203(800) 491-0909(843) 673-7525PECOS EnrollmentBased on the most recent information from CMS, provider Cassidy Grimsley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1104671759Provider TypeIndividualFull NameGrimsley, CassidyCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date4/18/2024Last Updated10/15/2025Contact InformationPractice LocationPractice AddressSc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203Phone(800) 491-0909FaxUnlisted FaxMailing LocationMailing AddressPO Box 23321, New York, NY 10087-4321Phone(843) 673-7525FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense28650South Carolina