Satellite Healthcare of Moncks Corner, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

SATELLITE HEALTHCARE OF MONCKS CORNER, LLC

Doing business as

Satellite Healthcare of Moncks Corner

Practice address

422 Drive in Lane
Moncks Corner, SC 29461-0000

Phone

(615) 905-6160

Fax

(615) 905-1601

NPI assigned

Jun 26, 2020

Organization subpart

No

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

Authorized official

Name

Thomas Williams

Title

Chief Executive Officer

Phone

(650) 404-3600

Specialties & licenses 1

Addresses

Other names 1

• Satellite Healthcare of Moncks Corner Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Satellite Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jamestown, CA
  • NPI 1649241720

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1376160275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45867",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941452847",
            "fax_number": "480-692-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 DRIVE IN LANE",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294610000",
            "telephone_number": "615-905-6160",
            "fax_number": "615-905-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE HEALTHCARE OF MONCKS CORNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "650-404-3600"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare of Moncks Corner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Gordon Sachs, LPC
• Safe Haven Telehealth Counseling LLC.
• Alexis Lashelle Salters
• Rachel Sanford, PHARM D
• Jeffrey Ramond Santi, MD
• Jasmine D Saunders
• Madeline Gray Saverance, DMD
• Candace Sawall, LPC
• Kimberly A Sayers
• SC Department of Juvenile Justice

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.