Active NPI
Clear Vision Community Services, LLC
- Community/Behavioral Health Agency
- Rock Hill, SC
National Provider Identifier
1033350855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CLEAR VISION COMMUNITY SERVICES, LLC
- Practice address
- 1348 Ebenezer Rd
Suite 104
Rock Hill, SC 29732-2726 - Phone
- (803) 325-1915
- Fax
- (803) 325-1927
- NPI assigned
- Mar 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Elgy Redmond Jr.
- Title
- Owner
- Phone
- (704) 576-7095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1348 Ebenezer Rd
Suite 104
Rock Hill, SC 29732-2726
Mailing address
1348 Ebenezer Rd Ste 104
Rock Hill, SC 29732-2727
Phone (803) 325-1915
National Provider Directory
National Provider DirectoryLocations
1348 Ebenezer Rd
Ste 104
Rock Hill, SC 29732
Phone (803) 366-7400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320278400000",
"number": "1033350855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1348 EBENEZER RD STE 104",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322727",
"telephone_number": "803-325-1915",
"fax_number": "803-325-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 EBENEZER RD",
"address_2": "SUITE 104",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322726",
"telephone_number": "803-325-1915",
"fax_number": "803-325-1927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR VISION COMMUNITY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-09",
"last_updated": "2011-11-03",
"status": "A",
"authorized_official_last_name": "REDMOND",
"authorized_official_first_name": "ELGY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-576-7095",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.