Sos Health Care Inc

Key facts

NPI

1235664673

Entity type

Organization (NPI type 2)

Primary specialty

Behavior Analyst 103K00000X

Legal business name

SOS HEALTH CARE INC

Practice address

1508 Azalea Dr
Surfside Beach, SC 29575-8240

Phone

(843) 712-1225

Fax

(843) 712-1225

NPI assigned

Apr 24, 2017

Organization subpart

No

Authorized official

Name

Sarah Pope

Title

Executive Director

Phone

(843) 449-0554

Corporate family (same tax ID) 2

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

• S.O.S. Health Care, Inc. Voluntary or Charitable Agency · Myrtle Beach, SC · NPI 1144479965
  NPD tax ID
• Sos Health Care Inc Mental Health Counselor · Murrells Inlet, SC · NPI 1447904669
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corey Blagsvedt, RBT Behavior Analyst · Charleston, SC · NPI 1356913438
  NPD (past) BEHAVIOR ANALYST
• Nathan Lewis Wills, BCBA Behavior Analyst · Richmond, VA · NPI 1568967016
  NPD (past) BEHAVIOR ANALYST

National Provider Directory

Tax ID family

Sos Health Care Inc (3 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2022.

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1235664673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5276 HIGHWAY 17 BUSINESS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765214",
            "telephone_number": "843-712-1225",
            "fax_number": "843-712-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 AZALEA DR",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295758240",
            "telephone_number": "843-712-1225",
            "fax_number": "843-712-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5276 Highway 17 Business",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765214",
            "country_code": "US",
            "telephone_number": "843-712-1225",
            "fax_number": "843-712-1225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOS HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-449-0554"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EN1138",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EN1523",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Surfside Beach, SC · Behavior Analyst in South Carolina