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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA-025
- 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, 2009
- Organization subpart
- Yes
- Parent organization
- SEA ISLAND COMPREHENSIVE HEALTH CARE CORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0076 | Medicaid | SC | |
| 134194 | Medicaid | SC |
Other names 1
- Sea Island Home Health
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
- Sandridge Counseling & Consulting Services (Sandridge Counseling Services)
- Say It With a Smile
- Katherine Cole Obrien Schroder, LPC
- Mary Maybell Schuessler, RN, FNP-C
- Sea Island Comprehensive Health Care Corporation (Sea Island Adult Day Center)
- Seacoast Chiropractic, LLC
- David Seignious, M.D.
- Senior Therapy Resources, Inc.
- Derek Allen Sessions, MSR, PT
- Jason Scott Sessions, D.C.
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.