Professional Cleaning & Care Services LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

222011 Issued in SC

Legal business name

PROFESSIONAL CLEANING & CARE SERVICES LLC

Practice address

620 16TH Ave S
Unit 89
Surfside Beach, SC 29575-3069

Phone

(843) 445-6362

NPI assigned

Jul 16, 2016

Last updated

Jul 16, 2016By 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

Mrs. Mary A Stitcher

Title

President

Phone

(843) 445-6362

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468627200000",
    "number": "1295188001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1679",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295781679",
            "telephone_number": "843-445-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 16TH AVE S",
            "address_2": "UNIT 89",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295753069",
            "telephone_number": "843-445-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CLEANING & CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-16",
        "last_updated": "2016-07-16",
        "status": "A",
        "authorized_official_last_name": "STITCHER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-445-6362",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "SC",
            "license": "222011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Philipps, DO
• Joshua Pond, D.C.
• Melanie H Porter, NP
• Jerd Watts Poston, O.D.
• Primary Medical, LLC (Primary Medical Associates)
• Katherine Marie Radzevick, PHARMD
• Luis Ramos Aleman, DC
• Alexandra Lyle Rateliff, PA-C
• John E Rathbun, M.D.
• Randy Cook Reames, RPH

• Adult Care Home Facility in Surfside Beach, SC
• Providers in Surfside Beach, SC by specialty
• Adult Care Home Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2016; 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.