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

NPI Status: Active since July 14, 2017

Contact Information

505 WOODLAND DR
KERSHAW, SC
ZIP 29067
Phone: (803) 283-7465

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  • Organization
  • Nurse Practitioner
  • Acute Care
  • CLIA Number: 42D2214399
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-21-2027

About CAROLINA BEHAVIORAL HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Carolina Behavioral Healthcare Llc, a provider established in Kershaw, South Carolina operating as a Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1174045710 assigned on July 2017. The practitioner's primary taxonomy code is 363LA2100X with license number 18183 (SC). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Sheresa Blackmon Catoe Aprn (Aprn)

NPI
1174045710
Provider Name
CAROLINA BEHAVIORAL HEALTHCARE LLC
Entity Type
Organization
Location Address
505 WOODLAND DR KERSHAW, SC 29067
Location Phone
(803) 283-7465
Mailing Address
505 WOODLAND DRIVE PO BOX 548 KERSHAW, SC 29067
Mailing Phone
(803) 283-7465
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2017
Last Update Date
06-16-2018
Code Navigator

A nurse practitioner (NP) like Carolina Behavioral Healthcare Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Acute Care

Taxonomy Code
363LA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
18183
License State
SC

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SHERESA BLACKMON CATOE APRN

Authorized Official Title
APRN
Authorized Official Phone
(803) 283-7465

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2214399
Facility Type
Physician Office
Certificate Effective Date
February 22, 2025
Certificate Expiration Date
February 21, 2027
Laboratory Director
SHERESA CATOE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Carolina Behavioral Healthcare Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174045710, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 0 + 4 + 1 + 0 + 7 + 2 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1174045710.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
505 WOODLAND DR
KERSHAW, SC 29067
Nurse Practitioner (Family)
505 WOODLAND DR
KERSHAW, SC 29067

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174045710, enumerated as an "organization" on July 14, 2017.

The provider is located at 505 WOODLAND DR KERSHAW, SC 29067 and the phone number is (803) 283-7465.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.