NPIMap

Organization Active NPI

Total Life Care Charleston, LLC

  • Nutrition Chiropractor
  • Charleston, SC
National Provider Identifier
1104804061
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
3054 Issued in SC
Legal business name
TOTAL LIFE CARE CHARLESTON, LLC
Doing business as
Total Life Care
Practice address
825 Wappoo Rd
Charleston, SC 29407-5866
Phone
(843) 402-0310
Fax
(843) 402-9819
NPI assigned
Jan 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Dr. Henry Walter Latter Jr., D.C.NPI 1285604447
Title
Chiropractor
Phone
(843) 402-0310

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
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X 3054 SC Primary

Addresses

Primary practice location

825 Wappoo Rd
Charleston, SC 29407-5866

Mailing address

825 Wappoo Rd
Charleston, SC 29407-5866
Phone (843) 402-0310

Other names 1

  • Total Life Care Doing business as

National Provider Directory

National Provider Directory

Locations

825 Wappoo Rd
Charleston, SC 29407
Phone (843) 209-6731

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1104804061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WAPPOO RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075866",
            "telephone_number": "843-402-0310",
            "fax_number": "843-402-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WAPPOO RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075866",
            "telephone_number": "843-402-0310",
            "fax_number": "843-402-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL LIFE CARE CHARLESTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-02",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "LATTER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "843-402-0310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "SC",
            "license": "3054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Life Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.