NPIMap

Organization Active NPI

E&L Colonial LLC

  • In Home Supportive Care Agency
  • Mt Pleasant, SC
National Provider Identifier
1417560293
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
E&L COLONIAL LLC
Practice address
1156 Bowman Rd Unit 200
Mt Pleasant, SC 29464-3858
Phone
(843) 800-0123
Fax
(843) 800-0601
NPI assigned
Aug 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
David Lewis, CO OWNER
Title
Coo
Phone
(843) 800-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1156 Bowman Rd Unit 200
Mt Pleasant, SC 29464-3858

Mailing address

1156 Bowman Rd Unit 200
Mt Pleasant, SC 29464-3858
Phone (843) 800-0123

Other identifiers 1

IdentifierTypeStateIssuer
IHCP-0695OtherSCDHEC IN HOME CARE PROVIDER LICENSE

Other names 1

  • Amada SC Coastal Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1417560293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 BOWMAN RD UNIT 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643858",
            "telephone_number": "843-800-0123",
            "fax_number": "843-800-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 BOWMAN RD UNIT 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643858",
            "telephone_number": "843-800-0123",
            "fax_number": "843-800-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E&L COLONIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "843-800-0123",
        "authorized_official_credential": "CO OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHEC IN HOME CARE PROVIDER LICENSE",
            "identifier": "IHCP-0695",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada SC Coastal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.