Active NPI
SC Nursing Services LLC
Doing business as Interim Healthcare - Myrtle Beach
- In Home Supportive Care Agency
- Myrtle Beach, SC
National Provider Identifier
1902203615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SC NURSING SERVICES LLC
- Doing business as
- Interim Healthcare - Myrtle Beach
- Practice address
- 1297 Professional Drive
Suite 201 C3
Myrtle Beach, SC 29577 - Phone
- (843) 839-9349
- NPI assigned
- Nov 24, 2014
- 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
- Mr. William Bogage
- Title
- President
- Phone
- (704) 201-8303
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1297 Professional Drive
Suite 201 C3
Myrtle Beach, SC 29577
Mailing address
1297 Professional Drive Suite 201-C3
Myrtle Beach, SC 29577
Phone (843) 839-9349
Other names 1
- Interim Healthcare - Myrtle Beach
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449446400000",
"number": "1902203615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1297 PROFESSIONAL DRIVE SUITE 201-C3",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29577",
"telephone_number": "843-839-9349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1297 PROFESSIONAL DRIVE",
"address_2": "SUITE 201 C3",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29577",
"telephone_number": "843-839-9349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SC NURSING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-24",
"last_updated": "2015-12-07",
"status": "A",
"authorized_official_last_name": "BOGAGE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-201-8303",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"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": [
{
"organization_name": "Interim Healthcare - Myrtle Beach",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.