INTERM HEALTHCARE MYRTLE BEACH
NPI 1366812265
Nursing Care in Myrtle Beach, SC

NPI Status: Active since October 05, 2015

Contact Information

1297 PROFESSIONAL DR STE 201-C3
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 274-5799

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  • Organization
  • Nursing Care
  • CLIA Number: 42D2179686
  • CLIA Cert. Type: Other - HOME VISITS OF PRIMARY CA
  • CLIA Exp. Date: 02-28-2028

About INTERM HEALTHCARE MYRTLE BEACH

This page provides the complete NPI Profile along with additional information for Interm Healthcare Myrtle Beach, a provider established in Myrtle Beach, South Carolina operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1366812265 assigned on October 2015. The practitioner's primary taxonomy code is 251J00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Interm Healthcare Myrtle Beach. The authorized official of this NPI record is Mr. William Bogage (President)

NPI
1366812265
Provider Legal Name
SOUTH CAROLINA HOME SERVICES LLC
Other Organization Name
INTERM HEALTHCARE MYRTLE BEACH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1297 PROFESSIONAL DR STE 201-C3 MYRTLE BEACH, SC 29577
Location Phone
(843) 274-5799
Mailing Address
1297 PROFESSIONAL DR STE 201-C3 MYRTLE BEACH, SC 29577
Mailing Phone
(843) 274-5799
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-05-2015
Last Update Date
10-05-2015
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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

Nursing Care

Taxonomy Code
251J00000X
Type
Agencies
Taxonomy Description
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

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

MR. WILLIAM BOGAGE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(704) 658-0555

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
42D2179686
Facility Type
Other - HOME VISITS OF PRIMARY CA
Certificate Effective Date
February 28, 2026
Certificate Expiration Date
February 28, 2028
Laboratory Director
PETER BUSSE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Interm Healthcare Myrtle Beach 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 1366812265, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 6 → 12 → 3 8 → 16 → 7 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 1 + 6 + 1 + 4 + 2 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1366812265.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366812265, enumerated as an "organization" on October 05, 2015.

The provider is located at 1297 PROFESSIONAL DR STE 201-C3 MYRTLE BEACH, SC 29577 and the phone number is (843) 274-5799.

Nursing Care with taxonomy code 251J00000X.