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CORAM HEALTHCARE CORPORATION OF SOUTH CAROLINA NPI 1881606093


NPI Information

NPI: 1881606093
Provider Name: CORAM HEALTHCARE CORPORATION OF SOUTH CAROLINA
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
1941 SAVAGE RD
SUITE 500AA
CHARLESTON, SC
ZIP 29407
Phone: (843) 769-5544
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CORAM HEALTHCARE CORPORATION OF SOUTH CAROLINA is a home health in Charleston, SC. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. CORAM HEALTHCARE CORPORATION OF SOUTH CAROLINA NPI is 1881606093. The provider is registered as an organization entity type.

The provider's business location address is:

1941 SAVAGE RD
SUITE 500AA
CHARLESTON, SC
ZIP 29407-704
Phone: (843) 769-5544
Fax: (843) 769-4300

The provider's authorized official is Vito Ponzio .
The authorized official title is Sr Vp and has the following contact phone number (303) 672-8631.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 8/22/2020.


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
1251E00000XHome HealthYes
2251F00000XHome InfusionX
3261QI0500XClinic/CenterInfusion TherapyX
4332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition50-003160SOUTH CAROLINAX
5333600000XPharmacy50-003160SOUTH CAROLINAX
63336C0003XPharmacyCommunity/Retail Pharmacy50-003160SOUTH CAROLINAX
73336H0001XPharmacyHome Infusion Therapy Pharmacy50-003160SOUTH CAROLINAX
83336M0002XPharmacyMail Order Pharmacy50-003160SOUTH CAROLINAX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14219350OTHERNCPDP
2DME151MEDICAIDSOUTH CAROLINA
350-003160OTHERSOUTH CAROLINARX LICENSE
4731608MEDICAIDSOUTH CAROLINA
5BC4392560OTHERDEA

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: 11/14/2023

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.