Immense Capitol LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

IMMENSE CAPITOL LLC

Practice address

425 Buttermere Dr
Gaston, SC 29053-8517

Phone

(803) 260-8344

NPI assigned

Mar 28, 2025

Last updated

Mar 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Clifford G Nelsin

Title

Owner

Phone

(803) 260-8344

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1861295594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BUTTERMERE DR",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290538517",
            "telephone_number": "803-260-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BUTTERMERE DR",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290538517",
            "telephone_number": "803-260-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMENSE CAPITOL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "NELSIN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-260-8344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Gaston, SC
• Providers in Gaston, SC by specialty
• Non-emergency Medical Transport (VAN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.