CLUB HORIZONS OF CHARLESTON LLC NPI 1265953590

NPI Information

CLUB HORIZONS OF CHARLESTON, LLC is an adult care home custodial care facility in North Charleston, SC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CLUB HORIZONS OF CHARLESTON, LLC NPI is 1265953590. The provider is registered as an organization entity type.

The provider's business location address is:

8088 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29406-235
Phone: (843) 992-2432

The provider's authorized official is Ann Sparks Belissary .
The authorized official title is Administrator and has the following contact phone number (843) 992-2432.

The CLIA number assigned to this NPI record is 42D2166274 - other - adult day care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2017 and was last updated on 6/16/2018.

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:

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.