The Charles Lea Center Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE CHARLES LEA CENTER INC.

Practice address

195 Burdette St
Spartanburg, SC 29307-1003

Phone

(864) 562-2222

NPI assigned

Jun 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gerald R. Bernard, ED.D

Title

Executive Director

Phone

(864) 562-2222

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

The Charles Lea Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Charles Lea Center Inc.

  • Clinical Social Worker
  • Spartanburg, SC
  • NPI 1689120503
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cadyn Liam Burnside, LISW, LISW-CP

  • Clinical Social Worker
  • Greenville, SC
  • NPI 1356846877
  Medicare reassignment NPD

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1881034437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 BURDETTE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071003",
            "telephone_number": "864-562-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 BURDETTE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071003",
            "telephone_number": "864-562-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARLES LEA CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-562-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.