Active NPI
Clta, LLC
- Home Health Agency
- N Charleston, SC
National Provider Identifier
1871820209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.