Organization Active NPI

Clta, LLC

  • Home Health Agency
  • N Charleston, SC
National Provider Identifier
1871820209
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLTA, LLC
Practice address
4130 Faber Place Dr
Suite 208
N Charleston, SC 29405-8501
Phone
(843) 452-9656
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Ms. Cynthia T. Applegate
Title
Sole Member
Phone
(843) 452-9656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4130 Faber Place Dr
Suite 208
N Charleston, SC 29405-8501

Mailing address

4130 Faber Place Dr
Suite 208
N Charleston, SC 29405-8501
Phone (843) 452-9656

Other names 1

  • BrightStar of Charleston Doing business as

National Provider Directory

National Provider Directory

Locations

4130 Faber Place Dr
Ste 208
North Charleston, SC 29405
Phone (843) 452-9656

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1871820209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 FABER PLACE DR",
            "address_2": "SUITE 208",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294058501",
            "telephone_number": "843-452-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 FABER PLACE DR",
            "address_2": "SUITE 208",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294058501",
            "telephone_number": "843-452-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "843-452-9656",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Charleston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.