COLLABORATIVE & INNOVATED CARE
NPI 1114752409
Clinic/Center - Multi-Specialty in North Myrtle Beach, SC

Q: What is Collaborative & Innovated Care's NPI number?

The NPI number for Collaborative & Innovated Care is 1114752409. It was assigned to this organization in the NPPES registry on September 5, 2024.

Q: What is Collaborative & Innovated Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since September 05, 2024

1016 2ND AVE N STE 203A, NORTH MYRTLE BEACH, SC 29582(843) 222-5395(866) 340-0296 Get Directions Write a Review

NPPES record last updated: September 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2024, Sep 5, 2024 (2 updates tracked since 2024).

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About Collaborative & Innovated Care NPPES

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

COLLABORATIVE & INNOVATED CARE (NPI 1114752409) is a healthcare organization registered as a multi-specialty in North Myrtle Beach, South Carolina and active in the NPI registry since September 2024. The organization lists Ela Clarida, Owner, as its authorized official.

NPPES Registry Identity

NPI1114752409

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameCOLLABORATIVE & INNOVATED CARE

Location Address1016 2ND AVE N STE 203ANorth Myrtle Beach, SC 29582-3288

Mailing Address1016 2nd Ave N Ste 203aNorth Myrtle Beach, SC 29582-3288 · (843) 222-5395 · Fax (866) 340-0296

Phone(843) 222-5395

Fax(866) 340-0296

Organization SubpartNo

Authorized OfficialEla ClaridaOwner · (843) 222-5395

Enumeration DateSeptember 5, 2024

Last NPPES UpdateSeptember 29, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2024

✔ NPI 1114752409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

1016 2ND AVE N STE 203A, North Myrtle Beach, SC 29582

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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 Collaborative & Innovated Care's NPI number?

The NPI number for Collaborative & Innovated Care is 1114752409. It was assigned to this organization in the NPPES registry on September 5, 2024.

Where is Collaborative & Innovated Care located?

Collaborative & Innovated Care is located at 1016 2nd Ave N Ste 203A, North Myrtle Beach, SC 29582. The listed phone number is (843) 222-5395.

What is Collaborative & Innovated Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Collaborative & Innovated Care was last updated on September 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.