Organization Active NPI

Personal Care, Inc.

  • Land Ambulance
  • Charleston, SC
National Provider Identifier
1760409718
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
209 Issued in SC
Legal business name
PERSONAL CARE, INC.
Doing business as
Personal Care
Practice address
941 Straight St
Charleston, SC 29407-5744
Phone
(843) 763-1222
Fax
(843) 763-5799
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Mrs. Diana Sidney Cignavitch
Title
Vice President
Phone
(843) 763-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 209 SC Primary

Addresses

Primary practice location

941 Straight St
Charleston, SC 29407-5744

Mailing address

941 Straight St
Charleston, SC 29407-5744
Phone (843) 763-1222

Other identifiers 1

IdentifierTypeStateIssuer
AB0123MedicaidSC

Other names 1

  • Personal Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050803000456 SC Part B Supplier - Ambulance Service Supplier 8022046721 Practice locations: Walterboro, SC; Moncks Corner, SC; Charleston, SC; Beaufort, SC; Hardeeville, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2076393Personal Care, Inc941 Straight Street, Charleston, SC 29407Certificate of waiverApr 16, 2028

National Provider Directory

National Provider Directory

Locations

2201 Boundary St
Ste 113
Beaufort, SC 29902
Phone (843) 763-1222

941 Straight St
Charleston, SC 29407
Phone (843) 763-1222

121 Mead Rd
Hardeeville, SC 29927
Phone (843) 763-1222

219 N Highway 52
Ste N
Moncks Corner, SC 29461
Phone (843) 763-1222

206 Godley St
Walterboro, SC 29488
Phone (843) 763-1222

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1760409718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 STRAIGHT ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075744",
            "telephone_number": "843-763-1222",
            "fax_number": "843-763-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 STRAIGHT ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075744",
            "telephone_number": "843-763-1222",
            "fax_number": "843-763-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "CIGNAVITCH",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "SIDNEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "843-763-1222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "SC",
            "license": "209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0123",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.