TANNER HEALTHCARE SERVICES, LLC (NPI# 1083224240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083224240 |
| Entity Type | Organization |
| Organization Name | TANNER HEALTHCARE SERVICES, LLC |
| Practice Address |
546 Long Pine Dr Blythewood SC 29016-7298 |
| Practice Telephone | 3023996509 |
| Mailing Telephone | 3023996509 |
| Mailing Fax Number | 8037083743 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | MS. SUSAN TANNER (NURSE PRACTITIONER) |
| Authorized Official Telephone | 3023996509 |
| Authorized Official Credential | PMNHP-BC, FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP4870 | 05 |
| Other Name | Type Code |
|---|---|
| Tanner Healthcare Services, LLC | Former Legal Business Name - Organization |
| Street Address |
546 LONG PINE DR |
| City | BLYTHEWOOD |
| State | SC |
| Zip Code | 29016-7298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151870 | Soo Ji Mun | Student in an Organized Health Care Education/Training Program | 3049 Gedney Circle, Blythewood, SC 29016 | 2020-07-09 |
| 1427600196 | Josie Gandy Drew Britt | Speech-Language Pathologist | Langford Elementary, 480 Langford Road, Blythewood, SC 29016 | 2019-07-12 |
| 1740843093 | Helping Hearts Development Corporation | In Home Supportive Care | 311 Blythewood Road, Blythewood, SC 29016 | 2019-04-22 |
| 1063933125 | Shawn Tyler | Registered Nurse | 1017 Fulmer Road, Blythewood, SC 29016 | 2017-06-29 |
| 1497290852 | Carolina Roses of Blythewood LLC | Community Based Residential Treatment Facility, Mental Illness | 5338 Hardscrabble Rd, Blythewood, SC 29016 | 2016-12-21 |
| 1598129512 | Brooke L. Green | Physical Therapy Assistant | 428-3 Mcnulty Road, Blythewood, SC 29016 | 2016-04-06 |
| 1922468909 | Prince George Transport | Ambulance | 200 Louthian Way, Blythewood, SC 29016 | 2016-03-03 |
| 1760849459 | Sherry Macaluso | Counselor | 2008 Old Birch Drive, Blythewood, SC 29016 | 2016-01-26 |
| 1851559629 | John C Cosby Jr Dmd Pa | Dentist | 745 University Village Drive, Blythewood, SC 29016 | 2008-05-29 |
| 1427242031 | Fairfield Medical Associates,pa | Specialist | 428 2 Mcnulty Road, Blythewood, SC 29016 | 2007-08-28 |
| Find all providers in zip 29016 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1083225221 | Emerge Counseling & Art Therapy | Clinic/Center | 19 Marina Village Ln. Unit 27, Beaufort, SC 29906-2990 | 2020-08-12 |
| 1891303988 | Providing H.o.p.e. By Srj | Clinic/Center | 3305 Goldenrod St, North Charleston, SC 29405-7866 | 2020-07-15 |
| 1427679919 | All Are Welcome Counseling | Clinic/Center | 2669 Pecan Ln, Conway, SC 29526-6610 | 2020-05-06 |
| 1427678051 | Colacalm LLC | Clinic/Center | 1332 Main St Ste 203205, Columbia, SC 29201-6201 | 2020-04-23 |
| 1447884705 | Jennie Cassidy Psychologist LLC | Clinic/Center | 1511 9th Ave Ste C, Conway, SC 29526-4126 | 2020-02-26 |
| 1598305138 | Kg Psychotherapy LLC | Clinic/Center | 711a Saint Andrews Blvd Ste A, Charleston, SC 29407-7140 | 2020-01-12 |
| 1992343982 | Juniper Tree Counseling Svcs, LLC | Clinic/Center | 990 Lake Hunter Cir Ste 202, Mt Pleasant, SC 29464-5426 | 2019-12-20 |
| 1871130252 | Discovery Center for Life Skills, LLC | Clinic/Center | 2315 N Main St Ste 209, Anderson, SC 29621-3880 | 2019-12-05 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEWOOD |
| Zip Code | 29016 |
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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.