Organization Active NPI

East Cooper Senior Day Care, LLC

  • Adult Day Care Clinic/Center
  • Mount Pleasant, SC
National Provider Identifier
1831228105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADC228 Issued in SC
Legal business name
EAST COOPER SENIOR DAY CARE, LLC
Practice address
999 Lake Hunter Cir Ste C
Mount Pleasant, SC 29464-5427
Phone
(843) 216-1070
Fax
(843) 216-2470
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Susan Sale, RN
Title
Administrator
Phone
(843) 216-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADC228 SC Primary

Addresses

Primary practice location

999 Lake Hunter Cir Ste C
Mount Pleasant, SC 29464-5427

Mailing address

999 Lake Hunter Cir Ste C
Mount Pleasant, SC 29464-5427
Phone (843) 216-1070

Other identifiers 1

IdentifierTypeStateIssuer
EX0677MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831228105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 LAKE HUNTER CIR STE C",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645427",
            "telephone_number": "843-216-1070",
            "fax_number": "843-216-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 LAKE HUNTER CIR STE C",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645427",
            "telephone_number": "843-216-1070",
            "fax_number": "843-216-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COOPER SENIOR DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-216-1070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": "ADC228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0677",
            "state": "SC"
        }
    ],
    "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 22, 2020; 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.