ACTIVE SC ONE, INC. (NPI# 1073086377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073086377 |
| Entity Type | Organization |
| Organization Name | ACTIVE SC ONE, INC. |
| Practice Address |
8088 Rivers Ave North Charleston SC 29406-9235 |
| Mailing Address |
6 Neshaminy Interplex, Suite 401 Trevose PA 19053 |
| Practice Telephone | 8439922432 |
| Mailing Telephone | 2156426600 |
| Mailing Fax Number | 2156426610 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | DEBORA HOCKENBURY (CONTRACTS MANAGER) |
| Authorized Official Telephone | 2156426600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Other Name | Type Code |
|---|---|
| Club Horizons of Charleston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801936232 | Active Sc One, Inc. | Respite Care | 228 N Creek Blvd, Greenwood, SC 29649-9006 | 2007-02-07 |
| 1619017027 | Active Sc One, Inc. | Clinic/Center | 3880 Houndsfield Ave, Myrtle Beach, SC 29577-5792 | 2007-02-07 |
| 1336696731 | Active Sc One, Inc. | Clinic/Center | 230 Giles Dr, Boiling Springs, SC 29316-6036 | 2016-09-02 |
| 1982744272 | Active Sc One, Inc. | Respite Care | 2120 Enterprise Dr, Florence, SC 29501-1104 | 2007-02-07 |
| 1265571418 | Active Sc One, Inc. | Clinic/Center | 1954 Ashley River Rd, Charleston, SC 29407-4904 | 2007-02-05 |
| 1932286333 | Active Sc One, Inc. | Clinic/Center | 400 Redland Ct, Suite 114, Owings Mills, MD 21117-3270 | 2006-11-01 |
| Street Address |
8088 RIVERS AVE |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-9235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265953590 | Club Horizons of Charleston, LLC | Custodial Care Facility | 8088 Rivers Ave, North Charleston, SC 29406-9235 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625579 | Visit By An Angel LLC | Respite Care | 64 Stratton Dr, North Charleston, SC 29420-8135 | 2019-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730731209 | Sc Homecare Solutions | Respite Care | 1214 N Main St Ste C, Anderson, SC 29621-4729 | 2019-07-15 |
| 1467925255 | Homewatch Caregivers of Rock Hill | Respite Care | 2342 Ebenezer Rd Ste A, Rock Hill, SC 29732-8256 | 2019-01-04 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1659734432 | Empowered Personal Care Home Health Alliance Inc | Respite Care | 1267 N Main St, Sumter, SC 29153-2138 | 2016-03-30 |
| 1053791574 | New Horizon Home Care LLC | Respite Care | 3683 Silver Bluff Rd, Aiken, SC 29803-6983 | 2015-06-01 |
| 1841533981 | Adult Day Care 41 | Respite Care | 1572 Highway 41, Mount Pleasant, SC 29466-8610 | 2013-03-27 |
| 1851639686 | Robinson's Healing-hearts Assisted Living LLC | Respite Care | 7340 Parklane Rd, Suite 204-f, Columbia, SC 29223-7644 | 2013-01-29 |
| 1730432113 | Senior Sitters of The Csra | Respite Care | 103 Cascade Dr, North Augusta, SC 29841-2164 | 2012-10-22 |
| 1134483696 | Assisting Angels Inc. | Respite Care | 113 East Butler Rd, Suite C, Mauldin, SC 29662 | 2012-06-29 |
| 1750676029 | Seniors Central, Inc. | Respite Care | 146 Jack Jones Street, Aiken, SC 29801 | 2011-06-15 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
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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.