NPIMap

Organization Active NPI

SC Dhec

  • Nursing Care Agency
  • N Charleston, SC
National Provider Identifier
1710438692
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
60412 Issued in SC
Legal business name
SC DHEC
Practice address
4050 Bridge View Dr
Suite 600
N Charleston, SC 29405-7488
Phone
(843) 953-0272
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Leah Willis, RN
Title
Program Director
Phone
(843) 870-1321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 60412 SC Primary

Addresses

Primary practice location

4050 Bridge View Dr
Suite 600
N Charleston, SC 29405-7488

Mailing address

4050 Bridge View Dr
Suite 600
N Charleston, SC 29405-7488

National Provider Directory

National Provider Directory
Tax ID family
Anderson County Health Dept280 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1710438692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 BRIDGE VIEW DR",
            "address_2": "SUITE 600",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294057488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 BRIDGE VIEW DR",
            "address_2": "SUITE 600",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294057488",
            "telephone_number": "843-953-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC DHEC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "843-870-1321",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SC",
            "license": "60412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.