Active NPI
Florence CK, LLC
- Home Health Agency
- Florence, SC
National Provider Identifier
1295866796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 061530
- Legal business name
- FLORENCE CK, LLC
- Practice address
- 1507 W. Palmetto Street
Florence, SC 29501 - Phone
- (843) 656-1056
- Fax
- (843) 656-1057
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Coker
- Title
- Owner
- Phone
- (843) 656-1056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 061530 | SC | Primary |
Addresses
Primary practice location
1507 W. Palmetto Street
Florence, SC 29501
Mailing address
1507 W. Palmetto Street
Florence, SC 29501
Phone (843) 656-1056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0692 | Medicaid | SC |
Other names 1
- Comfort Keepers of Florence
National Provider Directory
National Provider Directory- Tax ID family
- Florence CK LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Florence, SC
- NPI 1073707162
-
- Home Health Agency
- Florence, SC
- NPI 1568669786
Locations
1507 W Palmetto St
Florence, SC 29501
Phone (843) 656-1056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295866796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 W. PALMETTO STREET",
"city": "FLORENCE",
"state": "SC",
"postal_code": "29501",
"telephone_number": "843-656-1056",
"fax_number": "843-656-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 W. PALMETTO STREET",
"city": "FLORENCE",
"state": "SC",
"postal_code": "29501",
"telephone_number": "843-656-1056",
"fax_number": "843-656-1057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORENCE CK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COKER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-656-1056"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "SC",
"license": "061530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX0692",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Comfort Keepers of Florence",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.