CENTER OF HOPE OF MYRTLE BEACH, LLC (NPI# 1720302144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720302144 |
Entity Type | Organization |
Organization Name | CENTER OF HOPE OF MYRTLE BEACH, LLC |
Practice Address |
104 George Bishop Pkwy Myrtle Beach SC 29579-7335 |
Mailing Address |
1200 Woodruff Rd. Suite A3 Greenville SC 29607 |
Practice Telephone | 8439036212 |
Mailing Telephone | 8645271250 |
Mailing Fax Number | 8645271251 |
Enumeration Date | 2010-03-15 |
Last Update Date | 2019-08-03 |
Authorized Official Name | MRS. JOY BAILLEY (REGIONAL OPERATIONS DIRECTOR) |
Authorized Official Telephone | 8645271250 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 50007270 | SC | Pharmacy Service Providers |
N | 251S00000X | Community/Behavioral Health | OTPN-0068 | SC | Agencies |
N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Street Address |
104 GEORGE BISHOP PKWY |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29579-7335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578390 | Todd James Colosimo Sr. | Counselor | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-11-08 |
1659981249 | Joanne Susan Rice | Registered Nurse | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-08-07 |
1679181812 | Paula H. Carralero | Registered Nurse | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-07-14 |
1114541810 | Stephanie Ann Trombley | Registered Nurse | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-05-29 |
1932733789 | Kimberly Renee Hutchens | Licensed Practical Nurse | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-03-01 |
1174153126 | Tara Alesia Taylor | Counselor | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2020-01-17 |
1619528957 | Marcia Auclair | Counselor | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2019-09-27 |
1841840147 | Kimberly Ann Hayes | Counselor | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2019-09-18 |
1366003923 | Melissa Renee Foley | Licensed Practical Nurse | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2019-06-25 |
1336706605 | Danielle Larson | Counselor | 104 George Bishop Pkwy, Myrtle Beach, SC 29579-7335 | 2019-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
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Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1922487610 | Cornerstone Project Sc, LLC | Clinic/Center | 1919 Hampton St, Columbia, SC 29201-3535 | 2015-05-27 |
1912345893 | Shoreline Behavioral Health Service | Clinic/Center | 626 Tyson Dr, Pawleys Island, SC 29585-6925 | 2013-06-12 |
1801131420 | Recoverylife, LLC | Clinic/Center | 2246 Sumter St, Columbia, SC 29201-1932 | 2012-12-07 |
1780934976 | Pavillon Greenville Outpatient Services | Clinic/Center | 101 Pelham Commons Blvd, Greenville, SC 29615-4974 | 2012-09-14 |
1437383403 | Center for Behavioral Health South Carolina, Inc | Clinic/Center | 2301 Cosgrove Ave Ste F, North Charleston, SC 29405-7663 | 2009-05-06 |
1376691022 | Saluda County Alcohol & Drug Abuse Comm | Clinic/Center | 204 N Ramage St, Saluda, SC 29138-1359 | 2007-01-08 |
1487665055 | Fairfield Behavioral Health Services | Clinic/Center | 178 Us Highway 321 Bypass N., Winnsboro, SC 29180 | 2006-08-10 |
1053340273 | Greenwood-edgefield-mccormick-abbeville Commission On Alcohol and Drug | Clinic/Center | 1420 Spring St, Greenwood, SC 29646-4057 | 2006-07-01 |
1972532075 | Laurens County Commission On Alcohol and Drug Abuse | Clinic/Center | 219 Human Services Road, Clinton, SC 29325 | 2006-07-01 |
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City | MYRTLE BEACH |
Zip Code | 29579 |
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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.