Organization Active NPI

Sea Island Comprehensive Health Care Corporation

Doing business as Sea Island Home Health

  • Home Health Agency
  • Johns Island, SC
National Provider Identifier
1760415400
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA-025 Issued in SC
Legal business name
SEA ISLAND COMPREHENSIVE HEALTH CARE CORPORATION
Doing business as
Sea Island Home Health
Practice address
3627 Maybank Hwy
Johns Island, SC 29455-4825
Phone
(843) 559-4137
Fax
(843) 559-9925
NPI assigned
Jul 8, 2006
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SEA ISLAND COMPREHENSIVE HEALTH CARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Mr. David B Richardson
Title
Administrator
Phone
(843) 559-4137

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA-025 SC Primary
In Home Supportive Care Agency 253Z00000X EX0076 SC

Addresses

Primary practice location

3627 Maybank Hwy
Johns Island, SC 29455-4825

Mailing address

3627 Maybank Hwy
Johns Island, SC 29455-4825
Phone (843) 559-4137

Other identifiers 2

IdentifierTypeStateIssuer
EX0076MedicaidSC
134194MedicaidSC

Other names 1

  • Sea Island Home Health Doing business as

National Provider Directory

National Provider Directory
Part of
Sea Island Comprehensive Health Care Corporation

Locations

3627 Maybank Hwy
Johns Island, SC 29455
Phone (843) 559-3627

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1760415400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554825",
            "telephone_number": "843-559-4137",
            "fax_number": "843-559-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554825",
            "telephone_number": "843-559-4137",
            "fax_number": "843-559-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA ISLAND COMPREHENSIVE HEALTH CARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEA ISLAND COMPREHENSIVE HEALTH CARE CORPORATION",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-559-4137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA-025",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "EX0076",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0076",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134194",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea Island Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.