Organization Active NPI

Citadel Services, Inc

  • In Home Supportive Care Agency
  • Myrtle Beach, SC
National Provider Identifier
1164049789
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CITADEL SERVICES, INC
Practice address
195A Prather Park Dr
Myrtle Beach, SC 29588-7911
Phone
(843) 488-2849
Fax
(888) 569-3211
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Mr. Joseph F Bachich
Title
President
Phone
(609) 408-7819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

195A Prather Park Dr
Myrtle Beach, SC 29588-7911

Mailing address

195A Prather Park Dr
Myrtle Beach, SC 29588-7911
Phone (843) 488-2849

Other practice location 1

120 Springhall Dr Unit F
Goose Creek, SC 29445-5335
Phone (843) 375-3044

Other names 1

  • Griswold Home Care Charleston Region Pee Dee Greand Strand Other name

National Provider Directory

National Provider Directory

Locations

120 Springhall Dr
#F
Goose Creek, SC 29445
Phone (843) 375-3044

195A Prather Park Dr
Myrtle Beach, SC 29588
Phone (843) 488-2849

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1164049789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195A PRATHER PARK DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887911",
            "telephone_number": "843-488-2849",
            "fax_number": "888-569-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195A PRATHER PARK DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887911",
            "telephone_number": "843-488-2849",
            "fax_number": "888-569-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Springhall Dr Unit F",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294455335",
            "country_code": "US",
            "telephone_number": "843-375-3044",
            "fax_number": "888-569-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITADEL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "BACHICH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-408-7819",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griswold Home Care Charleston Region Pee Dee Greand Strand",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.