CLUB HORIZONS OF CHARLESTON, LLC


Address: 8088 Rivers Ave, North Charleston, SC 29406-9235
Phone: 8439922432

CLUB HORIZONS OF CHARLESTON, LLC (NPI# 1265953590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265953590
Entity Type Organization
Organization Name CLUB HORIZONS OF CHARLESTON, LLC
Practice Address 8088 Rivers Ave
North Charleston
SC 29406-9235
Mailing Address 170 Courthouse Sq
Florence
SC 29501-3432
Practice Telephone 8439922432
Enumeration Date 2017-06-27
Last Update Date 2018-06-16
Authorized Official Name MRS. ANN SPARKS BELISSARY (ADMINISTRATOR)
Authorized Official Telephone 8439922432
Authorized Official Credential M.ED.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
ADC-0418 SC Nursing & Custodial Care Facilities

Office Location

Street Address 8088 RIVERS AVE
City NORTH CHARLESTON
State SC
Zip Code 29406-9235

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073086377 Active Sc One, Inc. Respite Care 8088 Rivers Ave, North Charleston, SC 29406-9235 2019-01-09

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780785170 Trucare Health Services, Inc. Custodial Care Facility 9225 University Blvd, Ste. E-1a, North Charleston, SC 29406-9149 2006-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548868417 Williams Community Care Home Custodial Care Facility 7705 Richard St, Columbia, SC 29209-3733 2020-10-13
1497314256 The Barr Transition Place, LLC Custodial Care Facility 2422 Martin Luther King Jr Hwy, Kingstree, SC 29556-6945 2019-06-06
1720534985 Caring Hearts Companions, LLC Custodial Care Facility 1185 Blanton Rd, Sharon, SC 29742-8752 2016-08-28
1295188001 Professional Cleaning & Care Services LLC Custodial Care Facility 620 16th Ave S, Unit 89, Surfside Beach, SC 29575-3069 2016-07-16
1801241971 Palmetto Senior Care Shandon Custodial Care Facility 1100 Shirley St Ste 1, Columbia, SC 29205-1370 2016-04-26
1346634904 Cheryl Renee Gibson-dalton Custodial Care Facility 1231 Eutaw St, Orangeburg, SC 29115-3529 2015-03-22
1447648001 Carriage House Senior Living of Hartsville Custodial Care Facility 1131 E Home Ave, Hartsville, SC 29550-3411 2015-01-06
1881012177 Joshua's Foundation Inc. Custodial Care Facility 388 Elbow Circle, Ridgeway, SC 29130-0035 2014-04-03
1427480193 Step By Step To Nursing Custodial Care Facility 237 Chartwell Rd, Columbia, SC 29210-5834 2013-08-05
1013263433 Hannah Residential Manor, Inc. Custodial Care Facility 3750 Sheminally Rd, Pamplico, SC 29583-5700 2012-08-03
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Competitor

Search similar providers

City NORTH CHARLESTON
Zip Code 29406

Improve Information

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Dataset Information

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.

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