Active NPI
Berkeley Seniors Inc
- Home Delivered Meals
- Moncks Corner, SC
National Provider Identifier
1154462596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- Legal business name
- BERKELEY SENIORS INC
- Practice address
- 103 Gulledge St
Moncks Corner, SC 29461 - Phone
- (843) 761-0390
- NPI assigned
- Feb 9, 2007
- 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
- Ms. Tonya J Sweatman
- Title
- Executive Director
- Phone
- (843) 761-0390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | Primary |
Addresses
Primary practice location
103 Gulledge St
Moncks Corner, SC 29461
Mailing address
103 Gulledge St
Moncks Corner, SC 29461
Phone (843) 761-0390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0562 | Other | CLTC NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154462596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 GULLEDGE ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "29461",
"telephone_number": "843-761-0390",
"fax_number": "843-761-0394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GULLEDGE ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "29461",
"telephone_number": "843-761-0390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERKELEY SENIORS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SWEATMAN",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "843-761-0390",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLTC NUMBER",
"identifier": "EX0562",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.