Organization Active NPI

Life Essentials Health Solutions LLC

  • General Practice Physician
  • Mount Pleasant, SC
National Provider Identifier
1033951629
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LIFE ESSENTIALS HEALTH SOLUTIONS LLC
Practice address
1501 N Highway 17 Unit H
Mount Pleasant, SC 29464-3342
Phone
(843) 284-8410
Fax
(843) 606-2528
NPI assigned
Jun 12, 2024
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian Class, DCNPI 1689838971
Title
Owner
Phone
(843) 284-8410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1501 N Highway 17 Unit H
Mount Pleasant, SC 29464-3342

Mailing address

1501 N Highway 17 Unit H
Mount Pleasant, SC 29464-3342
Phone (843) 284-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240808000534 SC Part B Supplier - Clinic/Group Practice 0840737813 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Pleasant, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2329930Life Essentials Health Solutions LLC1501 N Highway 17 Unit H, Mount Pleasant, SC 29464Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

1501 N Highway 17
Unit H
Mt Pleasant, SC 29464
Phone (843) 284-8410

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1033951629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N HIGHWAY 17 UNIT H",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643342",
            "telephone_number": "843-284-8410",
            "fax_number": "843-606-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N HIGHWAY 17 UNIT H",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643342",
            "telephone_number": "843-284-8410",
            "fax_number": "843-606-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ESSENTIALS HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "CLASS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-284-8410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.