ACTIVE SC PCA, INC. (NPI# 1023158151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023158151 |
| Entity Type | Organization |
| Organization Name | ACTIVE SC PCA, INC. |
| Other Organization Name | ACTIVE NURSING SERVICES OF CHARLESTON |
| Practice Address |
104 Springhall Dr Goose Creek SC 29445-5335 |
| Mailing Address |
6 Neshaminy Interplex Dr Suite 401 Trevose PA 19053-6964 |
| Practice Telephone | 8435531665 |
| Practice Fax Number | 8435535932 |
| Mailing Telephone | 2156426600 |
| Mailing Fax Number | 2156426610 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-09-09 |
| Authorized Official Name | CRAIG MEHNERT (COO) |
| Authorized Official Telephone | 2156426600 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACTIVE DAY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | EX0419 | 05 |
| Other Name | Type Code |
|---|---|
| Active Nursing Services of Charleston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336353499 | Active Sc PCa, Inc. | Home Health | 21 Mcbeth St, Greenville, SC 29611-3548 | 2007-05-09 |
| 1730223751 | Active Sc PCa, Inc. | Home Health | 930 Oswego Hwy, Sumter, SC 29153-8733 | 2007-02-16 |
| 1578604054 | Active Sc PCa, Inc. | Home Health | 228 N Creek Blvd, Greenwood, SC 29649-9006 | 2007-02-09 |
| 1306923719 | Active Sc PCa, Inc. | Home Health | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| Street Address |
104 SPRINGHALL DR |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215077540 | Acsr, Inc. | Respite Care | 104 Springhall Dr, Goose Creek, SC 29445-5335 | 2007-02-07 |
| 1235272931 | Acsr, Inc. | Clinic/Center | 104 Springhall Dr, Goose Creek, SC 29445-5335 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218485 | Valerie Ransaw | Home Health | 423 Tammie Ave, Goose Creek, SC 29445-3616 | 2020-05-31 |
| 1659800266 | Developing Abilities Children's Therapy Services | Home Health | 105 Galsworthy Dr, Goose Creek, SC 29445-7025 | 2017-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487253 | True Vine Home Care Agency LLC | Home Health | True Vine Home Care LLC Agency, 113 South High Way 52 Ste E, Monchs Corner, SC 29461-3956 | 2020-11-02 |
| 1093315798 | Sharia Henderson | Home Health | 680 Grover Dr, Lyman, SC 29365-9251 | 2020-10-30 |
| 1861091654 | Tenacious Health Care Associates LLC | Home Health | 212 Evergreen St # B, Easley, SC 29642-1415 | 2020-10-22 |
| 1003414616 | Mcleod Home Care, LLC | Home Health | 949 E Main St Ste A, Lexington, SC 29072-4240 | 2020-10-15 |
| 1750988168 | Tamica Kitching | Home Health | 4611 Hard Scrabble Rd Ste 109-208, Columbia, SC 29229-8584 | 2020-10-08 |
| 1831796515 | Kendrick Elevation and Esteem Project | Home Health | 106 Rowe Cir, Columbia, SC 29212-2511 | 2020-10-05 |
| 1710584842 | True Care Home Care LLC | Home Health | 900b Main St Ste 201, Conway, SC 29526-4063 | 2020-10-01 |
| 1750998076 | Loving Home Care LLC | Home Health | 2250 Peach Orchard Rd, Sumter, SC 29154-1112 | 2020-09-30 |
| 1316554728 | Rosiland Sullivan | Home Health | 8 Sycamore Dr Ste B6, Greenville, SC 29607-2965 | 2020-09-29 |
| 1013524503 | Teia Avery | Home Health | 437 Talbert Rd Apt B3, Mc Cormick, SC 29835-6269 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.