Organization Active NPI

Sea Island Comprehensive Health Care Corporation

Doing business as Sea Island Adult Day Center

  • Adult Day Care Clinic/Center
  • Johns Island, SC
National Provider Identifier
1205077435
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SEA ISLAND COMPREHENSIVE HEALTH CARE CORPORATION
Doing business as
Sea Island Adult Day Center
Practice address
3627 Maybank Hwy
Johns Island, SC 29455-4825
Phone
(843) 559-4137
Fax
(843) 559-9925
NPI assigned
Mar 18, 2009
Last updated
Mar 19, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SEA ISLAND COMPREHENSIVE HEALTH CARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Mr. David B Richardson
Title
Administrator
Phone
(843) 559-4137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X SC Primary

Addresses

Primary practice location

3627 Maybank Hwy
Johns Island, SC 29455-4825

Mailing address

3627 Maybank Hwy
Johns Island, SC 29455-4825
Phone (843) 559-4137

Other names 1

  • Sea Island Adult Day Center Doing business as

National Provider Directory

National Provider Directory
Part of
Sea Island Comprehensive Health Care Corporation

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1205077435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554825",
            "telephone_number": "843-559-4137",
            "fax_number": "843-559-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554825",
            "telephone_number": "843-559-4137",
            "fax_number": "843-559-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA ISLAND COMPREHENSIVE HEALTH CARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEA ISLAND COMPREHENSIVE HEALTH CARE CORPORATION",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-559-4137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea Island Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.