MRS. CLARISSA GRAHAM (NPI# 1902366701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902366701 |
| Entity Type | Individual |
| Full Name | MRS. CLARISSA GRAHAM |
| Practice Address |
8106 Flintwood Ct North Charleston SC 29406-9435 |
| Mailing Address |
Po Box 57 Nesmith SC 29580-0057 |
| Practice Telephone | 8435931048 |
| Mailing Telephone | 8435931048 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
RBS60998 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 2019 | 05 |
| Street Address |
8106 FLINTWOOD CT |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-9435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932661048 | Affordable Renovationz, LLC | Contractor | 8106 Flintwood Ct, North Charleston, SC 29406-9435 | 2019-04-05 |
| 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 | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932661048 | Affordable Renovationz, LLC | Contractor | 8106 Flintwood Ct, North Charleston, SC 29406-9435 | 2019-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598390288 | Epps Maintenance | Contractor | 319 Outing Club Rd, Aiken, SC 29801-8689 | 2020-03-03 |
| 1770030512 | Allen Adgerson | Contractor | 1421 Hidden Valley Dr, Orangeburg, SC 29118-2014 | 2016-09-09 |
| 1609321983 | J&j Repair | Contractor | 2503 Dunbar Rd, Georgetown, SC 29440-2045 | 2016-08-17 |
| 1417315052 | Sean Kershaw | Contractor | 1232 Chuck Dawley Blvd, Mt Pleasant, SC 29464-4186 | 2016-02-09 |
| 1891153193 | The D Graham Group LLC | Contractor | 513 2nd Ave, Kingstree, SC 29556-2913 | 2016-02-02 |
| 1326438565 | Revekeo Scott | Contractor | 908 Friarsgate Blvd, Irmo, SC 29063-2774 | 2015-01-26 |
| 1891193637 | Clarice Mitchell | Contractor | 1453 Battery Park Rd, Nesmith, SC 29580-3058 | 2014-12-10 |
| 1386058360 | Darrell Brown | Contractor | 28 Deer Dr, Kingstree, SC 29556-3155 | 2014-06-17 |
| 1477858496 | David Grove | Contractor | 1714 Lakeland Trl, Tega Cay, SC 29708-8378 | 2011-01-23 |
| 1669708731 | Ronald Byrd Jr. | Contractor | 2214 Wallace St, Columbia, SC 29201-1942 | 2009-10-26 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on MRS. CLARISSA GRAHAM.
| 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.