NPIMap

Organization Active NPI

Viemed Clinical Services, LLC

  • Clinical Social Worker
  • Mount Pleasant, SC
National Provider Identifier
1811629629
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VIEMED CLINICAL SERVICES, LLC
Practice address
2444 Fulford CT
Mount Pleasant, SC 29466-6857
Phone
(337) 504-3802
Fax
(337) 504-4409
NPI assigned
Jun 29, 2022
Organization subpart
Yes
Parent organization
VIEMED, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Ryan Sullivan
Title
Executive VP
Phone
(337) 504-3802

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2444 Fulford CT
Mount Pleasant, SC 29466-6857

Mailing address

625 E Kaliste Saloom Rd
Lafayette, LA 70508-2540
Phone (833) 452-0220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241202001258 SC Part B Supplier - Clinic/Group Practice 9830501543 Practice locations: Mount Pleasant, SC

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

9726 E 42nd St
Tulsa, OK 74146

447 Call Rd
Ste 211
Charleston, WV 25312
Phone (304) 930-5776

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1811629629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082540",
            "telephone_number": "833-452-0220",
            "fax_number": "800-398-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 FULFORD CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666857",
            "telephone_number": "337-504-3802",
            "fax_number": "337-504-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIEMED CLINICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIEMED, INC.",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "337-504-3802"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.