Organization Active NPI

Clear Vision Community Services, LLC

  • Community/Behavioral Health Agency
  • Rock Hill, SC
National Provider Identifier
1033350855
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Nov 3, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.