Individual ProviderDominique HolmesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressSc House Calls Inc., 111 Doctors Cir, Columbia, SC 29203(800) 491-0909PECOS EnrollmentBased on the most recent information from CMS, provider Dominique Holmes 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 2 days ago.Profile DetailsProvider ID1356160691Provider TypeIndividualFull NameHolmes, DominiqueCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date10/4/2024Last Updated4/3/2025Contact InformationPractice LocationPractice AddressSc House Calls Inc., 111 Doctors Cir, Columbia, SC 29203Phone(800) 491-0909FaxUnlisted FaxMailing LocationMailing AddressSc House Calls Inc., 111 Doctors Cir, Columbia, SC 29203Phone(800) 491-0909FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN283515Georgia