Braodstep Academy -South Carolina Inc

LBN: Braodstep Academy -South Carolina Inc
Braodstep Academy -South Carolina Inc is an health care organization with primary practice located at 1991 Glenns Bay Rd Ste 101A , Myrtle Beach SC 29575-8614. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Braodstep Academy -South Carolina Inc can be contacted via phone (843) 215-0242, or through Coleman, Kedrian via phone (919) 709-0197.

Contact Information

Primary practice address
1991 Glenns Bay Rd Ste 101A Myrtle Beach SC 29575-8614
Phone: (843) 215-0242
Fax: (843) 215-0017
Website:
Map and Directions
Authorized official contact:
Name: Coleman, Kedrian
Phone: (919) 709-0197

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1508931312
LBN Legal business name Braodstep Academy -South Carolina Inc
DBA Doing business as
Authorized official Coleman, Kedrian
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 21st, 2006
Last updated Aug 25th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508931312 NPPES
South Carolina MEDICAID 883MXH

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