CAC INC NPI 1699962316

NPI Information

  • NPI: 1699962316
  • Provider Name: CAC, INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 702 W 3RD AVE
    LAKE VIEW, SC
    ZIP 29563
  • Phone: (843) 759-9099

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NPI Details

CAC, INC is an assisted living facility in Lake View, SC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CAC, INC NPI is 1699962316. The provider is registered as an organization entity type.

The provider's business location address is:

702 W 3RD AVE
LAKE VIEW, SC
ZIP 29563-302
Phone: (843) 759-9099

The provider's authorized official is Richard Cooke .
The authorized official title is President and has the following contact phone number (843) 759-0025.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 7/15/2008.

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
1310400000XAssisted Living FacilityRC0626SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RC0626MEDICAIDSOUTH CAROLINA

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: 3/30/2025

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