Health Education Resource Outreach Community Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEALTH EDUCATION RESOURCE OUTREACH COMMUNITY SERVICES LLC

Doing business as

HERO Community Services, LLC

Practice address

2842 Farmer Brown CT
Myrtle Beach, SC 29579-3219

Phone

(843) 267-7044

NPI assigned

Oct 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Lounzy Antwan Green, B.S.

Title

Owner/Community Health Counselor

Phone

(843) 267-7044

Specialties & licenses 1

Addresses

Other names 1

• HERO Community Services, LLC Doing business as

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1871920744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2842 FARMER BROWN CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793219",
            "telephone_number": "843-267-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2842 FARMER BROWN CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793219",
            "telephone_number": "843-267-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH EDUCATION RESOURCE OUTREACH COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LOUNZY",
        "authorized_official_middle_name": "ANTWAN",
        "authorized_official_title_or_position": "OWNER/COMMUNITY HEALTH COUNSELOR",
        "authorized_official_telephone_number": "843-267-7044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERO Community Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.