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).
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 |
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 |
Street Address |
8088 RIVERS AVE |
City | NORTH CHARLESTON |
State | SC |
Zip Code | 29406-9235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073086377 | Active Sc One, Inc. | Respite Care | 8088 Rivers Ave, North Charleston, SC 29406-9235 | 2019-01-09 |
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 | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | NORTH CHARLESTON |
Zip Code | 29406 |
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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.