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CAROLINA BEHAVIORAL HEALTHCARE LLC
NPI 1174045710
Nurse Practitioner - Acute Care in Kershaw, SC

Active since July 14, 2017CLIA 42D2214399 · Waiver
505 WOODLAND DR, KERSHAW, SC 29067(803) 283-7465 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Nov 13, 2017, Jul 14, 2017 (3 updates tracked since 2017).

About Carolina Behavioral Healthcare Llc NPPES

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

CAROLINA BEHAVIORAL HEALTHCARE LLC (NPI 1174045710) is a healthcare organization registered as an acute care in Kershaw, South Carolina and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Sheresa Blackmon Catoe, Aprn, as its authorized official.

NPPES Registry Identity

NPI1174045710
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameCAROLINA BEHAVIORAL HEALTHCARE LLC
Location Address505 WOODLAND DRKershaw, SC 29067-1704
Mailing Address505 Woodland Drive, Po Box 548Kershaw, SC 29067-0548 · (803) 283-7465
Phone(803) 283-7465
Organization SubpartNo
Authorized OfficialSheresa Blackmon CatoeAprn · (803) 283-7465
Enumeration DateJuly 14, 2017
Last NPPES UpdateJune 16, 20183 updates tracked since enumeration
✔ NPI 1174045710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in SC · 18183
505 WOODLAND DR, Kershaw, SC 29067
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 42D2214399

Carolina Behavioral Healthcare, LLC · Kershaw, SC
Active · expires Feb 21, 2027
CLIA Number42D2214399
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorSheresa Catoe
Laboratory Phone(803) 283-7465
Laboratory LocationCarolina Behavioral Healthcare, LLC505 Woodland Drive, Kershaw, SC 29067
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

LYNZI RENA BRANHAM APRN
Nurse Practitioner (Family)
505 WOODLAND DR
KERSHAW, SC 29067
Lancaster County (803) 784-4429
JESSICA BRUBECK NP
Nurse Practitioner
505 WOODLAND DR
KERSHAW, SC 29067
Lancaster County (843) 680-1342

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 Carolina Behavioral Healthcare LLC's NPI number?

The NPI number for Carolina Behavioral Healthcare LLC is 1174045710. It was assigned to this organization in the NPPES registry on July 14, 2017.

Where is Carolina Behavioral Healthcare LLC located?

Carolina Behavioral Healthcare LLC is located at 505 Woodland Dr, Kershaw, SC 29067. The listed phone number is (803) 283-7465.

What is Carolina Behavioral Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Does Carolina Behavioral Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2214399) is associated with this NPI, valid through February 21, 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 Carolina Behavioral Healthcare LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.