Active NPI
Citadel Services, Inc
- In Home Supportive Care Agency
- Myrtle Beach, SC
National Provider Identifier
1164049789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.