REFLECTIONS AT CAROLINA FOREST INC. NPI 1770886186

NPI Information

  • NPI: 1770886186
  • Provider Name: REFLECTIONS AT CAROLINA FOREST, INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 42D1086539
  • Address: 219 MIDDLEBURG DR
    MYRTLE BEACH, SC
    ZIP 29579
  • Phone: (843) 903-0700

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NPI Details

REFLECTIONS AT CAROLINA FOREST, INC. is an assisted living facility in Myrtle Beach, 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. REFLECTIONS AT CAROLINA FOREST, INC. NPI is 1770886186. The provider is registered as an organization entity type.

The provider's business location address is:

219 MIDDLEBURG DR
MYRTLE BEACH, SC
ZIP 29579-409
Phone: (843) 903-0700
Fax: (843) 903-0714

The provider's authorized official is Wallace Dekalb Clardy .
The authorized official title is President/ceo and has the following contact phone number (843) 903-0700.

The CLIA number assigned to this NPI record is 42D1086539 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2010 and was last updated on 12/8/2010.

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 FacilityCRC-1456SOUTH CAROLINAYes

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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