HEALTH EDGE GROUP, LLC (NPI# 1083009385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083009385 |
| Entity Type | Organization |
| Organization Name | HEALTH EDGE GROUP, LLC |
| Practice Address |
2102 Otranto Blvd Ste A North Charleston SC 29406-9841 |
| Practice Telephone | 8435692225 |
| Practice Fax Number | 8438631830 |
| Mailing Telephone | 8435692225 |
| Mailing Fax Number | 8438631830 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |
| Authorized Official Name | BARBARA BENTON (BILLING MANAGER) |
| Authorized Official Telephone | 8436073773 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH EDGE GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 9-14-119373 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP6680 | 05 |
| Street Address |
2102 OTRANTO BLVD STE A |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-9841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730575168 | David Palmer | Occupational Therapist | 2102 Otranto Blvd Ste A, North Charleston, SC 29406-9841 | 2015-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483971 | Rsfh - Ati Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 8950 University Blvd Ste 200a, North Charleston, SC 29406-9115 | 2020-10-01 |
| 1801378765 | Naturally Haute Chic LLC | Durable Medical Equipment & Medical Supplies | 8780 Rivers Ave Ste 104, North Charleston, SC 29406-9257 | 2018-09-06 |
| 1508306531 | Hill-rom Company, Inc. | Durable Medical Equipment & Medical Supplies | 7236 Cross Park Drive, North Charleston, SC 29418-7420 | 2017-02-23 |
| 1902182769 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7501 Rivers Ave, North Charleston, SC 29406-4662 | 2011-10-25 |
| 1437474251 | Abacare Home Medical, LLC | Durable Medical Equipment & Medical Supplies | 8410 Rivers Ave, Suite E, North Charleston, SC 29406-9271 | 2010-04-05 |
| 1700116746 | Advent Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1223 Remount Rd., North Charleston, SC 29406-3418 | 2010-01-13 |
| 1679732069 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1861 Remount Rd, North Charleston, SC 29406-3238 | 2008-06-02 |
| 1902095300 | Empicare, Inc. | Durable Medical Equipment & Medical Supplies | 2891 Tricom St, Suite C, North Charleston, SC 29406-7110 | 2007-10-22 |
| 1013117514 | Trident Vision Center, Inc | Durable Medical Equipment & Medical Supplies | 9304 Medical Plaza Dr, Unit C-1, North Charleston, SC 29406-9143 | 2007-07-23 |
| 1376617423 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 9263 Medical Plaza Dr Ste C, North Charleston, SC 29406-7112 | 2006-11-20 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on HEALTH EDGE GROUP, LLC.
| 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.