GRAND STRAND SENIOR HEALTH CENTER LLC
NPI 1700867223
Family Medicine - Geriatric Medicine in Little River, SC
NPI Status: Active since November 10, 2005
Contact Information
4237 RIVER HILLS DR
SUITE 150
LITTLE RIVER, SC
ZIP 29566
Phone: (843) 281-2778
Fax: (843) 281-2785
- Organization
- Family Medicine
- Geriatric Medicine
- CLIA Number: 42D0984119
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-08-2026
About GRAND STRAND SENIOR HEALTH CENTER LLC
This page provides the complete NPI Profile along with additional information for Grand Strand Senior Health Center Llc, a primary care provider established in Little River, South Carolina operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1700867223 assigned on November 2005. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Grand Strand Senior Health Center Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Dough White (Ceo)
- NPI
- 1700867223
- Provider Name
- GRAND STRAND SENIOR HEALTH CENTER LLC
- Entity Type
- Organization
- Location Address
- 4237 RIVER HILLS DR SUITE 150 LITTLE RIVER, SC 29566
- Location Phone
- (843) 281-2778
- Location Fax
- (843) 281-2785
- Mailing Address
- 4237 RIVER HILLS DR SUITE 150 LITTLE RIVER, SC 29566
- Mailing Phone
- (843) 281-2778
- Mailing Fax
- (843) 281-2785
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-10-2005
- Last Update Date
- 08-05-2009
- Code Navigator
A primary care provider (PCP) like Grand Strand Senior Health Center Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
Family Medicine Geriatric Medicine
- Taxonomy Code
- 207QG0300X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
7730 | MEDICARE PIN (08) | SC | |
DB4131 | MEDICARE PIN (08) | ||
GP3814 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D0984119
- Facility Type
- Physician Office
- Certificate Effective Date
- April 09, 2024
- Certificate Expiration Date
- April 08, 2026
- Laboratory Director
- VIRGINIA WILLIAMS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Grand Strand Senior Health Center Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
1 | 7 | 0 | 0 | 8 | 6 | 7 | 2 | 2 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 0 | 0 | 16 | 6 | 14 | 2 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 0 + 0 + 1 + 6 + 6 + 1 + 4 + 2 + 4 + 24 = 57 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 57 = 3 | 3 |
The NPI number 1700867223 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1568547495 | GENEVIEVE BADAOUI Individual | Physical Therapist (Orthopedic) | 4237 RIVER HILLS DR SUITE 120 LITTLE RIVER, SC 29566 (843) 249-5616 |
1801971742 | JERRILYN JUNE BEASLEY Individual | Physical Therapy Assistant | 4237 RIVER HILLS DR SUITE 120 LITTLE RIVER, SC 29566 (843) 249-5616 |
1386886588 | CLEMSON SPORTS MEDICINE AND REHABILITATION Organization | Durable Medical Equipment & Medical Supplies | 4237 RIVER HILLS DR SUITE 120 LITTLE RIVER, SC 29566 (843) 249-5616 |
1518390087 | RIVER HILLS ORTHOPAEDICS, LLC Organization | Orthopaedic Surgery | 4237 RIVER HILLS DR SUITE 130 LITTLE RIVER, SC 29566 (843) 663-3700 |
1003249673 | MR. JAMES ST. CYR DPT Individual | Physical Therapist | 4237 RIVER HILLS DR SUITE 120 LITTLE RIVER, SC 29566 (843) 249-5616 |
1720160450 | CLEMSON SPORTS MEDICINE AND REHABILITATION Organization | Rehabilitation Unit | 4237 RIVER HILLS DR SUITE 120 LITTLE RIVER, SC 29566 (843) 249-5616 |
1952307753 | DR. STEPHEN G GELFAND MD Individual | Internal Medicine (Rheumatology) | 4237 RIVER HILLS DR SUITE 150 LITTLE RIVER, SC 29566 (843) 281-2778 |
1952760001 | CLEMSON SPORTS MEDICINE AND REHABILITATION, INC Organization | Rehabilitation Unit | 4237 RIVER HILLS DR SUITE 110 LITTLE RIVER, SC 29566 (843) 999-0900 |
1144321381 | AMI PANKAJ PATEL PT Individual | Physical Therapist | 4237 RIVER HILLS DR SUITE 120 LITTLE RIVER, SC 29566 (843) 249-5616 |
1760677967 | JOHN C FITZGERALD Individual | Physical Therapist | 4237 RIVER HILLS DR STE 120 LITTLE RIVER, SC 29566 (843) 249-5616 |
1457727752 | ELITE PAIN MANAGEMENT, LLC Organization | Pain Medicine (Pain Medicine) | 4237 RIVER HILLS DR LITTLE RIVER, SC 29566 (417) 848-9188 |
1952657728 | KRISTINE ALTENA PT Individual | Physical Therapist | 4237 RIVER HILLS DR SUITE 120 LITTLE RIVER, SC 29566 (843) 249-5616 |
1790705796 | DAVID M. JOHNSON MD Individual | Internal Medicine | 4237 RIVER HILLS DR STE 130 LITTLE RIVER, SC 29566 (843) 234-8675 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700867223, enumerated in the NPI registry as an "organization" on November 10, 2005
The provider is located at 4237 River Hills Dr Suite 150 Little River, Sc 29566 and the phone number is (843) 281-2778
This medical organization specializes in Family Medicine with taxonomy code 207QG0300X with a focus in Geriatric Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 42D0984119 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on November 10, 2005. 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].
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