HEDGEMARK BRENTWOOD MEDICAL SERVICES, INC. (NPI# 1023098712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023098712 |
| Entity Type | Organization |
| Organization Name | HEDGEMARK BRENTWOOD MEDICAL SERVICES, INC. |
| Other Organization Name | PHC HOME HEALTH |
| Practice Address |
1923d Maybank Hwy Charleston SC 29412-2115 |
| Practice Telephone | 8437623601 |
| Practice Fax Number | 8437627074 |
| Mailing Telephone | 8437623601 |
| Mailing Fax Number | 8437627074 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | MRS. ELLEN S DURRENCE (VICE PRESIDENT) |
| Authorized Official Telephone | 8437623601 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HHA-084 | SC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 470555 | 05 |
| Other Name | Type Code |
|---|---|
| PHC Home Health | Doing Business As Name - Organization |
| Street Address |
1923D MAYBANK HWY |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29412-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219055 | Terra Rae Mchugh | Speech-Language Pathologist | 418 Folly Rd. Phc Rehab, Suite B, Charleston, SC 29412 | 2020-03-07 |
| 1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
| 1760956619 | Madison Culler, D.m.d., P.a. | Dentist | 211 Simmons Street, Mount Pleasant, SC 29412 | 2019-01-14 |
| 1366932717 | Harborview Speech Therapy, LLC | Speech-Language Pathologist | 783 Stebbins Street, Charleston, SC 29412 | 2018-05-11 |
| 1780193003 | Grace K Cotton | Speech-Language Pathologist | 1265 Marshview Dr, Charleston, SC 29412 | 2017-09-29 |
| 1639628449 | Matthew Husband | Occupational Therapist | 930 Folly Road, Suite B, Charleston, SC 29412 | 2016-09-22 |
| 1679941843 | Renee Poser | Pharmacist | 907 Folly Rd Suite A, James Island, SC 29412 | 2015-09-04 |
| 1508205717 | Amanda Marie Ashcraft | Dental Hygienist | 113 Wappoo Creek Drive Suite 5, James Island Dental Associates Pa, Charleston, SC 29412 | 2013-06-20 |
| 1104147818 | Glendolyn Harrison | Social Worker | 125e Wappoo Creek Drive, Suite 101e, Charleston, SC 29412 | 2010-06-16 |
| 1487986055 | Rachel E. Brunette | Physical Therapist | 418 B Folly Rd., Charleston, SC 29412 | 2010-02-08 |
| Find all providers in zip 29412 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437770617 | Hussein Ali Elmi | Home Health | 602 Tennessee Ave Ste 702-704, Charleston, WV 25302-2328 | 2020-04-29 |
| 1427682392 | Christine Washington | Home Health | 822 Corral Dr, Charleston, SC 29414-5117 | 2020-02-28 |
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1033774427 | Lagom Living, Inc | Home Health | 1064 Gardner Rd Ste 310, Charleston, SC 29407-5746 | 2019-05-01 |
| 1538626452 | Eagle Home Healthcare LLC | Home Health | 717 Lee St E, Charleston, WV 25301-1734 | 2019-02-27 |
| 1831668078 | Home Care Assistance of Charleston | Home Health | 1662 Savannah Hwy Ste 225, Charleston, SC 29407-2235 | 2018-11-16 |
| 1811422918 | Luvly Angels LLC | Home Health | 1527 Sam Rittenberg Blvd, Suite 202b, Charleston, SC 29407-4190 | 2017-04-26 |
| 1902252679 | Shauna Noelcke, LLC | Home Health | 45 Sycamore Ave Apt 1112, Charleston, SC 29407-6732 | 2016-05-11 |
| 1144675901 | Lowcountry Therapeutic | Home Health | 1622 Wrecklers Race Ln, Charleston, SC 29414-7920 | 2016-04-29 |
| 1578964474 | Resilience Home Care Services, LLC | Home Health | 3700 Washington St W, Charleston, WV 25387-1121 | 2014-09-10 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29412 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.