Provider Type Icon

ON SITE CARE LLC NPI 1639686827


NPI Information

NPI: 1639686827
Provider Name: ON SITE CARE LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 42D2150156

Address:
1380 EBENEZER RD STE E
ROCK HILL, SC
ZIP 29732
Phone: (803) 324-2273
Get Directions

ON SITE CARE LLC is a community behavioral health in Rock Hill, SC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ON SITE CARE LLC NPI is 1639686827. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1380 EBENEZER RD STE E
ROCK HILL, SC
ZIP 29732-349
Phone: (803) 324-2273
Fax: (803) 902-8078

The provider's authorized official is Jesslyn Anika Anderson .
The authorized official title is Ceo/president and has the following contact phone number (803) 324-2273.

The CLIA number assigned to this NPI record is 42D2150156 - other - family nurse practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2018 and was last updated on 3/28/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
2207Q00000XFamily MedicineSOUTH CAROLINANo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4251S00000XCommunity/Behavioral HealthYes
5363LF0000XNurse PractitionerFamilyNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.