NPIMap

Organization Active NPI

Isabella LLC

Doing business as Healthsource of Mount Pleasant

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1831283688
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2006 Issued in SC
Legal business name
ISABELLA LLC
Doing business as
Healthsource of Mount Pleasant
Practice address
1051 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3100
Phone
(843) 884-8444
NPI assigned
Oct 3, 2006
Last updated
Apr 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Dr. Joseph Gerald Carew, D.C.NPI 1659329522
Title
Chiropractor
Phone
(803) 260-7990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2006 SC Primary

Addresses

Primary practice location

1051 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3100

Mailing address

1051 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3100
Phone (843) 884-8444

Other names 1

  • Healthsource of Mount Pleasant Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000705 SC Part B Supplier - Clinic/Group Practice 0648184101 Receives reassigned benefits from 2 practitioners
Practice locations: Mt Pleasant, SC

National Provider Directory

National Provider Directory

Locations

1447 Hampton St
Columbia, SC 29201
Phone (803) 252-0108

1051 Johnnie Dodds Blvd
Mt Pleasant, SC 29464
Phone (843) 388-9690

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1831283688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 JOHNNIE DODDS BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643100",
            "telephone_number": "843-884-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 JOHNNIE DODDS BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643100",
            "telephone_number": "843-884-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "CAREW",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "803-260-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthsource of Mount Pleasant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 2016; 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.