Charles Towne Home Program

LBN: Coast Dialysis Llc
Charles Towne Home Program is an health care organization with primary practice located at 1964 Ashley River Rd Suite D-2, Charleston SC 29407-4782. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Coast Dialysis Llc can be contacted via phone (843) 573-8767, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
1964 Ashley River Rd Suite D-2 Charleston SC 29407-4782
Phone: (843) 573-8767
Fax: (843) 573-2394
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ERD-0197 South Carolina

Profile Details

NPI number 1447531421
LBN Legal business name Coast Dialysis Llc
DBA Doing business as Charles Towne Home Program
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2011
Last updated Apr 19th, 2024 - about last year

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 1447531421 NPPES
South Carolina MEDICAID RE0035

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