NPIMap

Organization Active NPI

Sandhills Intergrated Care, Inc.

  • Community/Behavioral Health Agency
  • Loris, SC
National Provider Identifier
1174013684
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SANDHILLS INTERGRATED CARE, INC.
Practice address
4123 Meeting St Ste a
Loris, SC 29569-2409
Phone
(843) 756-3008
NPI assigned
May 10, 2018
Last updated
May 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Lachandra Troy
Title
Ceo
Phone
(843) 756-3008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SC Primary

Addresses

Primary practice location

4123 Meeting St Ste a
Loris, SC 29569-2409

Mailing address

PO Box 532
Whiteville, NC 28472-0532
Phone (843) 756-3008

Other practice location 1

3993 Meeting St
Loris, SC 29569-3053
Phone (843) 756-3008

Other practice location 2

5272 Ocean Hwy W
Shallotte, NC 28470-4006
Phone (888) 501-5597

Other identifiers 2

IdentifierTypeStateIssuer
1184107542MedicaidNC
GP8411MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Sandhills Intergrated Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4123 Meeting St
Ste A
Loris, SC 29569
Phone (843) 756-3008

Practitioners & affiliated clinicians

Practitioners 6

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": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1174013684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284720532",
            "telephone_number": "843-756-3008",
            "fax_number": "843-756-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 MEETING ST STE A",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692409",
            "telephone_number": "843-756-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3993 Meeting St",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295693053",
            "country_code": "US",
            "telephone_number": "843-756-3008",
            "fax_number": "843-756-3128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5272 Ocean Hwy W",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704006",
            "country_code": "US",
            "telephone_number": "888-501-5597",
            "fax_number": "843-756-3128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDHILLS INTERGRATED CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "TROY",
        "authorized_official_first_name": "LACHANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-756-3008"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184107542",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP8411",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loris, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.