BERKELEY HOME CLINIC NPI 1609796762

NPI Information

  • NPI: 1609796762
  • Provider Name: BERKELEY HOME CLINIC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1008 OLD HIGHWAY 52 STE E
    MONCKS CORNER, SC
    ZIP 29461
  • Phone: (843) 830-8636

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NPI Details

BERKELEY HOME CLINIC is a clinic center in Moncks Corner, SC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BERKELEY HOME CLINIC NPI is 1609796762. The provider is registered as an organization entity type.

The provider's business location address is:

1008 OLD HIGHWAY 52 STE E
MONCKS CORNER, SC
ZIP 29461-011
Phone: (843) 830-8636

The provider's authorized official is Rachel Marie Bailey .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (843) 830-8636.

The enumeration date for this NPI number is 7/20/2026 and was last updated on 7/20/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 11/21/2025

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