CORA SOUTH CAROLINA LLC (NPI# 1952767519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952767519 |
| Entity Type | Organization |
| Organization Name | CORA SOUTH CAROLINA LLC |
| Other Organization Name | INDIGO THERAPY SPECIALISTS - NORTH MYRTLE BEACH |
| Practice Address |
536 Highway 17 N North Myrtle Beach SC 29582-2904 |
| Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
| Practice Telephone | 8434171042 |
| Practice Fax Number | 8432495740 |
| Mailing Telephone | 4192216720 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4192216712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7414 | 05 |
| Other Name | Type Code |
|---|---|
| Indigo Therapy Specialists - North Myrtle Beach | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366008955 | Cora South Carolina LLC | Clinic/Center | 515 Carnes Crossing Blvd Ste B, Summerville, SC 29486-0412 | 2019-05-20 |
| 1215492129 | Cora South Carolina LLC | Clinic/Center | 2724 W Palmetto St Ste 2, Florence, SC 29501-4909 | 2019-02-05 |
| 1316421571 | Cora South Carolina LLC | Clinic/Center | 1907 N Highway 17 Ste 102, Mount Pleasant, SC 29464-9604 | 2018-09-24 |
| 1881177855 | Cora South Carolina LLC | Clinic/Center | 5625 Rivers Ave, North Charleston, SC 29406-6022 | 2018-09-14 |
| 1164923355 | Cora South Carolina LLC | Clinic/Center | 876 Fording Island Rd Ste 2, Bluffton, SC 29910-8677 | 2018-02-23 |
| 1659871986 | Cora South Carolina LLC | Clinic/Center | 474 Bypass 72 Nw Ste A, Greenwood, SC 29649-1404 | 2018-02-13 |
| 1831507235 | Cora South Carolina LLC | Clinic/Center | 4871 Socastee Blvd., Suite E, Myrtle Beach, SC 29588-9356 | 2014-07-29 |
| 1366850919 | Cora South Carolina LLC | Clinic/Center | 2199 North Frazer St., Georgetown, SC 29440-6409 | 2014-07-28 |
| 1104380344 | Cora South Carolina LLC | Clinic/Center | 876 Fording Island Rd Ste 2, Bluffton, SC 29910-8677 | 2019-01-22 |
| 1396250049 | Cora South Carolina LLC | Clinic/Center | 1110 Shawnee Rd, Lima, OH 45805-3529 | 2017-12-04 |
| Street Address |
536 HIGHWAY 17 N |
| City | NORTH MYRTLE BEACH |
| State | SC |
| Zip Code | 29582-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812656 | J&r Angels Care Services LLC | In Home Supportive Care | North Myrtle Beach Business Center Ste 115 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-08-24 |
| 1215561865 | Janella Jackson | In Home Supportive Care | North Myrtle Beach Business Center Suite 115, 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-02-22 |
| 1780147504 | Cherry Grove Compounding, LLC | Pharmacy | 1124-2 Sea Mountain Highway, North Myrtle Beach, SC 29582 | 2019-04-09 |
| 1598125437 | Jebediah S Christy-north Myrtle Beach Pllc | Dentist | 1376 Hwy 17 N, North Myrtle Beach, SC 29582 | 2016-03-04 |
| 1972907277 | John Soileau | Veterinarian | 1530 Old Highway 17 N, North Myrtle Beach, SC 29582 | 2014-10-15 |
| 1306248422 | Dental Professionals of Sc, PC | Dentist | 1586 Hwy 17n, North Myrtle Beach, SC 29582 | 2014-09-19 |
| 1477899680 | Jessica Ober | Physical Therapist | 1100 David St., Apt #1208, North Myrtle Beach, SC 29582 | 2012-12-14 |
| 1568711646 | Erin Dixon | Pharmacist | 781 Main Street, North Myrtle Beach, SC 29582 | 2012-09-05 |
| 1972875722 | Medical Comfort Systems | Durable Medical Equipment & Medical Supplies | 1108 Sea Mountain Hwy Ste 3, North Myrtle Beach, SC 29582 | 2012-02-08 |
| 1295023869 | Jenna Lynne Dukes | Pharmacist | 1201 Sea Mountain Hwy, North Myrtle Beach, SC 29582 | 2011-07-18 |
| Find all providers in zip 29582 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057048 | Proactive Therapy of South Carolina Inc | Clinic/Center | 2114 Highway 41 Ste 104, Mount Pleasant, SC 29466-6204 | 2020-03-11 |
| 1073157673 | Physiotherapy Associates, Inc. | Clinic/Center | 334 E Martintown Rd Unit 3, North Augusta, SC 29841-4261 | 2019-11-06 |
| 1265073241 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 5232 Sunset Blvd Ste B, Lexington, SC 29072-9347 | 2019-10-01 |
| 1366008955 | Cora South Carolina LLC | Clinic/Center | 515 Carnes Crossing Blvd Ste B, Summerville, SC 29486-0412 | 2019-05-20 |
| 1013573849 | Ace Physio & Wellness LLC | Clinic/Center | 3031 Marlin Rd, Johns Island, SC 29455-3904 | 2019-05-16 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1215492129 | Cora South Carolina LLC | Clinic/Center | 2724 W Palmetto St Ste 2, Florence, SC 29501-4909 | 2019-02-05 |
| 1316421571 | Cora South Carolina LLC | Clinic/Center | 1907 N Highway 17 Ste 102, Mount Pleasant, SC 29464-9604 | 2018-09-24 |
| 1881177855 | Cora South Carolina LLC | Clinic/Center | 5625 Rivers Ave, North Charleston, SC 29406-6022 | 2018-09-14 |
| 1649751173 | Halcyon Rehabilitation, LLC | Clinic/Center | 2 Griffith Rd, Greenville, SC 29607-3503 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MYRTLE BEACH |
| Zip Code | 29582 |
Please comment or provide details below to improve the information on CORA SOUTH CAROLINA LLC.
| 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.