CLTA, LLC (NPI# 1871820209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871820209 |
| Entity Type | Organization |
| Organization Name | CLTA, LLC |
| Other Organization Name | BRIGHTSTAR OF CHARLESTON |
| Practice Address |
4130 Faber Place Dr Suite 208 N Charleston SC 29405-8501 |
| Practice Telephone | 8434529656 |
| Mailing Telephone | 8434529656 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | MS. CYNTHIA T. APPLEGATE (SOLE MEMBER) |
| Authorized Official Telephone | 8434529656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| BrightStar of Charleston | Doing Business As Name - Organization |
| Street Address |
4130 FABER PLACE DR SUITE 208 |
| City | N CHARLESTON |
| State | SC |
| Zip Code | 29405-8501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538452933 | Tracy Lynn Grantham | Counselor | 4130 Faber Place Dr, Suite 115, N Charleston, SC 29405-8501 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| 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 |
|---|---|---|---|---|
| 1720618408 | Marilyn Lee | Home Health | 4716 Thoroughbred Dr, N Charleston, SC 29420-7581 | 2020-01-22 |
| 1639651987 | Aries Home Care LLC | Home Health | 3236 Landmark Dr Ste 121, N Charleston, SC 29418-8490 | 2018-09-04 |
| 1003276049 | Longevity Pt | Home Health | 5524 Gallatin Ln, N Charleston, SC 29420-6803 | 2016-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487253 | True Vine Home Care Agency LLC | Home Health | True Vine Home Care LLC Agency, 113 South High Way 52 Ste E, Monchs Corner, SC 29461-3956 | 2020-11-02 |
| 1093315798 | Sharia Henderson | Home Health | 680 Grover Dr, Lyman, SC 29365-9251 | 2020-10-30 |
| 1861091654 | Tenacious Health Care Associates LLC | Home Health | 212 Evergreen St # B, Easley, SC 29642-1415 | 2020-10-22 |
| 1003414616 | Mcleod Home Care, LLC | Home Health | 949 E Main St Ste A, Lexington, SC 29072-4240 | 2020-10-15 |
| 1750988168 | Tamica Kitching | Home Health | 4611 Hard Scrabble Rd Ste 109-208, Columbia, SC 29229-8584 | 2020-10-08 |
| 1831796515 | Kendrick Elevation and Esteem Project | Home Health | 106 Rowe Cir, Columbia, SC 29212-2511 | 2020-10-05 |
| 1710584842 | True Care Home Care LLC | Home Health | 900b Main St Ste 201, Conway, SC 29526-4063 | 2020-10-01 |
| 1750998076 | Loving Home Care LLC | Home Health | 2250 Peach Orchard Rd, Sumter, SC 29154-1112 | 2020-09-30 |
| 1316554728 | Rosiland Sullivan | Home Health | 8 Sycamore Dr Ste B6, Greenville, SC 29607-2965 | 2020-09-29 |
| 1013524503 | Teia Avery | Home Health | 437 Talbert Rd Apt B3, Mc Cormick, SC 29835-6269 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | N CHARLESTON |
| Zip Code | 29405 |
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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.