CLUB HORIZONS OF CHARLESTON
NPI 1073086377
Clinic/Center - Adult Day Care in North Charleston, SC

Active since January 09, 2019CLIA 42D2166274 · Waiver
8088 RIVERS AVE, NORTH CHARLESTON, SC 29406(843) 992-2432 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2022, Jun 30, 2020, Jan 9, 2019 (3 updates tracked since 2019).

About Club Horizons Of Charleston NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLUB HORIZONS OF CHARLESTON (NPI 1073086377) is a healthcare organization registered as an adult day care in North Charleston, South Carolina and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Debora Hockenbury, Contracts Manager, as its authorized official.

NPPES Registry Identity

NPI1073086377
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameACTIVE SC ONE, INC.
Location Address8088 RIVERS AVENorth Charleston, SC 29406-9235
Mailing Address6 Neshaminy Interplex, Suite 401Trevose, PA 19053 · (215) 642-6600 · Fax (215) 642-6610
Organization SubpartNo
Authorized OfficialDebora HockenburyContracts Manager · (215) 642-6600
Enumeration DateJanuary 9, 2019
Last NPPES UpdateOctober 20, 20223 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
NPI 1073086377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
Also ListedRespite CareTaxonomy 385H00000X
8088 RIVERS AVE, North Charleston, SC 29406

Other Names 1

Doing Business AsClub Horizons Of Charleston

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2166274

Club Horizons Of Charleston · North Charleston, SC
Active · expires May 14, 2027
CLIA Number42D2166274
Laboratory TypeAdult Day Care
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorJacqueline Williams
Laboratory Phone(215) 642-6269
Laboratory LocationClub Horizons Of Charleston8088 Rivers Ave, North Charleston, SC 29406
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Custodial Care Facility (Adult Care Home)
8088 RIVERS AVE
NORTH CHARLESTON, SC 29406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Sc One, Inc.'s NPI number?

The NPI number for Active Sc One, Inc. is 1073086377. It was assigned to this organization in the NPPES registry on January 9, 2019. The provider is doing business as Club Horizons Of Charleston.

Where is Active Sc One, Inc. located?

Active Sc One, Inc. is located at 8088 Rivers Ave, North Charleston, SC 29406. The listed phone number is (843) 992-2432.

What is Active Sc One, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Active Sc One, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2166274) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Active Sc One, Inc. was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.