CORAM HEALTHCARE CORPORATION OF SOUTH CAROLINA (NPI# 1881606093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881606093 |
| Entity Type | Organization |
| Organization Name | CORAM HEALTHCARE CORPORATION OF SOUTH CAROLINA |
| Practice Address |
1941 Savage Rd Suite 500aa Charleston SC 29407-4704 |
| Mailing Address |
1675 Broadway Suite 900 Denver CO 80202-4675 |
| Practice Telephone | 8437695544 |
| Practice Fax Number | 8437694300 |
| Mailing Telephone | 3036728631 |
| Mailing Fax Number | 3032980047 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VITO PONZIO JR. (SR VP) |
| Authorized Official Telephone | 3036728631 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251E00000X | Home Health | Agencies | ||
| X | 251F00000X | Home Infusion | Agencies | ||
| X | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
| X | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
50-003160 | SC | Suppliers |
| X | 333600000X | Pharmacy | 50-003160 | SC | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
50-003160 | SC | Suppliers |
| X | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
50-003160 | SC | Suppliers |
| X | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
50-003160 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 4219350 | 01 | |
| SC | DME151 | 05 | |
| SC | RX LICENSE | 50-003160 | 01 |
| SC | 731608 | 05 | |
| DEA | BC4392560 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003954223 | Coram Healthcare Corporation of South Carolina | Home Health | 1675 Broadway, Ste 900, Denver, CO 80202-4675 | 2007-02-01 |
| Street Address |
1941 SAVAGE RD SUITE 500AA |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982642237 | Robert P Turner | Psychiatry & Neurology | 1941 Savage Rd, Suite 100-e, Charleston, SC 29407-4704 | 2006-06-02 |
| 1467829994 | Blakeley Hydrick | Physical Therapist | 1941 Savage Rd, Ste 300a, Charleston, SC 29407-4704 | 2015-09-01 |
| 1306249529 | Sharee Waring | Physical Therapy Assistant | 1941 Savage Rd, Suite 400c, Charleston, SC 29407-4704 | 2014-10-01 |
| 1730510678 | Network Neurology, LLC | Psychiatry & Neurology | 1941 Savage Rd, Ste 100e, Charleston, SC 29407-4704 | 2013-12-03 |
| 1861734782 | Jane Leslie Tyler | Internal Medicine | 1941 Savage Rd, Suite 100f, Charleston, SC 29407-4704 | 2013-03-18 |
| 1114101060 | Pamela Johnson | Occupational Therapist | 1941 Savage Rd, Suite 400 C, Charleston, SC 29407-4704 | 2007-12-27 |
| 1770767634 | Donna Andrews | Speech-Language Pathologist | 1941 Savage Rd, Suite 400c, Charleston, SC 29407-4704 | 2007-12-27 |
| 1609050020 | Angela Casper | Physical Therapy Assistant | 1941 Savage Rd, Suite 400c, Charleston, SC 29407-4704 | 2007-12-20 |
| 1689857369 | Patricia Motschwiller | Physical Therapy Assistant | 1941 Savage Rd, Suite 400c, Charleston, SC 29407-4704 | 2007-12-17 |
| 1154504744 | Eric Ruiz | Occupational Therapist | 1941 Savage Rd, Suite 400c, Charleston, SC 29407-4704 | 2007-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| 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 |
|---|---|---|---|---|
| 1437770617 | Hussein Ali Elmi | Home Health | 602 Tennessee Ave Ste 702-704, Charleston, WV 25302-2328 | 2020-04-29 |
| 1427682392 | Christine Washington | Home Health | 822 Corral Dr, Charleston, SC 29414-5117 | 2020-02-28 |
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1033774427 | Lagom Living, Inc | Home Health | 1064 Gardner Rd Ste 310, Charleston, SC 29407-5746 | 2019-05-01 |
| 1538626452 | Eagle Home Healthcare LLC | Home Health | 717 Lee St E, Charleston, WV 25301-1734 | 2019-02-27 |
| 1831668078 | Home Care Assistance of Charleston | Home Health | 1662 Savannah Hwy Ste 225, Charleston, SC 29407-2235 | 2018-11-16 |
| 1811422918 | Luvly Angels LLC | Home Health | 1527 Sam Rittenberg Blvd, Suite 202b, Charleston, SC 29407-4190 | 2017-04-26 |
| 1902252679 | Shauna Noelcke, LLC | Home Health | 45 Sycamore Ave Apt 1112, Charleston, SC 29407-6732 | 2016-05-11 |
| 1144675901 | Lowcountry Therapeutic | Home Health | 1622 Wrecklers Race Ln, Charleston, SC 29414-7920 | 2016-04-29 |
| 1578964474 | Resilience Home Care Services, LLC | Home Health | 3700 Washington St W, Charleston, WV 25387-1121 | 2014-09-10 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on CORAM HEALTHCARE CORPORATION OF SOUTH CAROLINA.
| 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.