Sos Health Care Inc

Primary specialty

Behavior AnalystTaxonomy code 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

Last updated

Feb 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Pope

Title

Executive Director

Phone

(843) 449-0554

Specialties & licenses 3

Addresses

Tax ID family

Sos Health 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.

• S.O.S. Health Care, Inc.

  • Voluntary or Charitable Agency
  • Myrtle Beach, SC
  • NPI 1144479965
  NPD tax ID
• Sos Health Care Inc

  dba SOS Care

  • Mental Health Counselor
  • Murrells Inlet, SC
  • NPI 1447904669
  NPD tax ID

Locations

Practitioners 2

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.

• Corey Blagsvedt, RBT

  • Behavior Analyst
  • Charleston, SC
  • NPI 1356913438
  NPD (past)
• Nathan Lewis Wills, BCBA

  • Behavior Analyst
  • Richmond, VA
  • NPI 1568967016
  NPD (past)

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

• Jerry David Shepherd II, DDS
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• Behavior Analyst in Surfside Beach, SC
• Providers in Surfside Beach, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.