LIFEBRIDGE INTERGRATED CARE SERVICES, LLC
NPI 1700278850
Community/Behavioral Health in Myrtle Beach, SC

NPI Status: Active since February 26, 2015

Contact Information

1293 PROFESSIONAL DR
SUITE D
MYRTLE BEACH, SC
ZIP 29577
Phone: (312) 730-0662

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  • Organization
  • Community/Behavioral Health

About LIFEBRIDGE INTERGRATED CARE SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Lifebridge Intergrated Care Services, Llc, a provider established in Myrtle Beach, South Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1700278850 assigned on February 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Sheila Murphy (Ceo)

NPI
1700278850
Provider Name
LIFEBRIDGE INTERGRATED CARE SERVICES, LLC
Entity Type
Organization
Location Address
1293 PROFESSIONAL DR SUITE D MYRTLE BEACH, SC 29577
Location Phone
(312) 730-0662
Mailing Address
2443 NC HIGHWAY 20 SAINT PAULS, NC 28384
Mailing Phone
(312) 730-0662
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2015
Last Update Date
02-26-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. SHEILA MURPHY

Authorized Official Title
CEO
Authorized Official Phone
(312) 730-0662

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700278850
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27004716810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 4 + 7 + 1 + 6 + 8 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1700278850 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194977538MRS. ANN C MCDONALD LPC, NCC
Individual
Counselor (Mental Health)1293 PROFESSIONAL DR SUITE D, #202
MYRTLE BEACH, SC 29577
(843) 855-6180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700278850, enumerated in the NPI registry as an "organization" on February 26, 2015

The provider is located at 1293 Professional Dr Suite D Myrtle Beach, Sc 29577 and the phone number is (312) 730-0662

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on February 26, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.