Indigo Carolina Forest

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

INDIGO CAROLINA FOREST

Practice address

176 Village Center Blvd
Myrtle Beach, SC 29579-5622

Phone

(850) 712-5566

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Marisa Strain, RN

Title

Cco

Phone

(850) 712-5566

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1992563597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 BARRINGTON CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086805",
            "telephone_number": "850-712-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 VILLAGE CENTER BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295795622",
            "telephone_number": "850-712-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO CAROLINA FOREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "STRAIN",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "850-712-5566",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Imes
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• Inclusive Healthcare Center
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• Elaine Inigo, PHARMD
• Inlet Counseling Center, LLC
• Inlet Optometric Eycare, Inc.
• Inmed Diagnostics Services of SC LLC

• Assisted Living Facility in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.