Organization · Type 2 NPI

Active SC One, Inc.

Adult Day Care Clinic/Center · North Charleston, SC

NPI number 1073086377 Active

Practice location

8088 Rivers Ave
North Charleston, SC 29406-9235

Call (843) 992-2432 Map

Mailing address

6 Neshaminy Interplex, Suite 401
Trevose, PA 19053

Specialties and licenses

Taxonomy	Code	License
Adult Day Care Clinic/Center Primary	261QA0600X	None listed
Respite Care	385H00000X	None listed

Adult Day Care Clinic/Center: Definition to come...

Another provider at this address

Club Horizons of Charleston, LLCAdult Care Home Facility North Charleston, SC NPI 1265953590

NPI record

NPI: 1073086377
Entity type: Organization (Type 2)
Issued: Jan 9, 2019
Last updated: Oct 20, 2022
Status: Active

Other names

<unavail>
Club Horizons of Charleston · doing business as
Club Horizons of Charleston · doing business as

Authorized official

Debora Hockenbury
Contracts Manager
(215) 642-6600

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073086377

Active SC One, Inc.'s National Provider Identifier is 1073086377, issued on Jan 9, 2019. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in North Charleston, SC. The record was last updated on Oct 20, 2022.