BERKELEY SENIORS INC (NPI# 1154462596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154462596 |
| Entity Type | Organization |
| Organization Name | BERKELEY SENIORS INC |
| Practice Address |
103 Gulledge St Moncks Corner SC 29461 |
| Practice Telephone | 8437610390 |
| Mailing Telephone | 8437610390 |
| Mailing Fax Number | 8437610394 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TONYA J SWEATMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8437610390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332U00000X | Home Delivered Meals | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLTC NUMBER | EX0562 | 01 |
| Street Address |
103 GULLEDGE ST |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700139128 | Sc Department of Juvenile Justice | Community/Behavioral Health | 103 Gulledge St, Moncks Corner, SC 29461-3748 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 332U00000X |
| Grouping | Suppliers |
| Classification | Home Delivered Meals |
| Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. |
| Notes: Source: Code of Federal Regulations #45, Part 96, Appendix A, Uniform Definition of Services. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366694697 | Clarendon County Council On Aging | Home Delivered Meals | 206 S Church St, Manning, SC 29102-3116 | 2008-10-17 |
| 1306055488 | York County Council On Aging, Inc. | Home Delivered Meals | 917 Standard St., Rock Hill, SC 29730 | 2007-05-22 |
| 1306971502 | Vital Aging of Williamsburg County, Inc. | Home Delivered Meals | 501 North Longstreet Street, Kingstree, SC 29556 | 2007-02-21 |
| 1720059561 | Dorchester Seniors, Inc. | Home Delivered Meals | 312 N Laurel St, Summerville, SC 29483-6543 | 2006-01-30 |
| 1568933919 | C&s Dynasty Wealth Builders LLC | Home Delivered Meals | 7801 Saint Andrews Rd, Irmo, SC 29063-2866 | 2018-12-11 |
| 1700079076 | Senior Services, Inc. of Chester County | Home Delivered Meals | 1197 Armory Rd, Chester, SC 29706 | 2007-08-21 |
| City | MONCKS CORNER |
| Zip Code | 29461 |
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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.