CENTER OF HOPE OF MYRTLE BEACH, LLC
NPI 1720302144
Clinic/Center - Rehabilitation, Substance Use Disorder in Myrtle Beach, SC

Q: What is Center Of Hope Of Myrtle Beach, LLC's NPI number?

The NPI number for Center Of Hope Of Myrtle Beach, LLC is 1720302144. It was assigned to this organization in the NPPES registry on March 15, 2010.

Q: What is Center Of Hope Of Myrtle Beach, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since March 15, 2010CLIA 42D2180326 · Waiver

104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579(843) 903-6212 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2024, May 24, 2021, Aug 3, 2019 and 1 more (4 updates tracked since 2019).

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About Center Of Hope Of Myrtle Beach, Llc NPPES

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

CENTER OF HOPE OF MYRTLE BEACH, LLC (NPI 1720302144) is a healthcare organization registered as a rehabilitation, substance use disorder in Myrtle Beach, South Carolina and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists Rupert James Mccormac, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720302144

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameCENTER OF HOPE OF MYRTLE BEACH, LLC

Location Address104 GEORGE BISHOP PKWYMyrtle Beach, SC 29579-7335

Mailing AddressPo Box 749057Atlanta, GA 30374-9057 · (800) 805-6989 · Fax (864) 558-8511

Phone(843) 903-6212

Organization SubpartNo

Authorized OfficialRupert James MccormacCeo · (800) 805-6989

Enumeration DateMarch 15, 2010

Last NPPES UpdateSeptember 3, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2024

✔ NPI 1720302144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedPharmacistTaxonomy 183500000X · License 50007270 (SC)

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License OTPN-0068 (SC)

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

104 GEORGE BISHOP PKWY, Myrtle Beach, SC 29579

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare.Insurance ›

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 42D2180326

Center Of Hope Of Myrtle Beach, LLC · Myrtle Beach, SC

Active · expires Mar 10, 2028

CLIA Number42D2180326

Laboratory TypeMethadone Clinic

Certificate Effective DateMarch 11, 2026

Certificate Expiration DateMarch 10, 2028

Laboratory DirectorDr. James Stephen

Laboratory Phone(864) 964-7500

Laboratory LocationCenter Of Hope Of Myrtle Beach, LLC104 George Bishop Parkway, Myrtle Beach, SC 29577

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

895 services34 patients

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

696 services41 patients

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077

Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.

55 services32 patients

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Other Providers at the Same Location NPPES 20

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

MIA MONIQUE FLOYD RPHT

Pharmacy Technician