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HAMMOCKS ON THE EDISTO LLC
NPI 1861045767
Substance Abuse Rehabilitation Facility in Jacksonboro, SC

Active since July 19, 2019CLIA 42D2210266 · Waiver
2137 HOPE PLANTATION LANE, JACKSONBORO, SC 29452(843) 276-9326 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 16, 2020, Jul 19, 2019 (2 updates tracked since 2019).

About Hammocks On The Edisto Llc NPPES

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

HAMMOCKS ON THE EDISTO LLC (NPI 1861045767) is a healthcare organization registered as a substance abuse rehabilitation facility in Jacksonboro, South Carolina and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists William Jonas Coatsworth, Ceo/chief Of Clinical Services, as its authorized official.

NPPES Registry Identity

NPI1861045767
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameHAMMOCKS ON THE EDISTO LLC
Location Address2137 HOPE PLANTATION LANEJacksonboro, SC 29452
Mailing AddressPo Box 130Jacksonboro, SC 29452-0130
Phone(843) 276-9326
Organization SubpartNo
Authorized OfficialWilliam Jonas CoatsworthCeo/chief Of Clinical Services · (843) 806-3414
Enumeration DateJuly 19, 2019
Last NPPES UpdateDecember 16, 20202 updates tracked since enumeration
NPPES CertifiedDecember 16, 2020
✔ NPI 1861045767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
2137 HOPE PLANTATION LANE, Jacksonboro, SC 29452
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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 42D2210266

Hammocks On The Edisto · Jacksonboro, SC
Active · expires Jan 19, 2027
CLIA Number42D2210266
Laboratory TypeResidential Subs Abuse
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorMr. William J. Coatsworth
Laboratory Phone(843) 806-3414
Laboratory LocationHammocks On The Edisto2137 Hope Plantation Lane, Jacksonboro, SC 29452
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hammocks On The Edisto LLC's NPI number?

The NPI number for Hammocks On The Edisto LLC is 1861045767. It was assigned to this organization in the NPPES registry on July 19, 2019.

Where is Hammocks On The Edisto LLC located?

Hammocks On The Edisto LLC is located at 2137 Hope Plantation Lane, Jacksonboro, SC 29452. The listed phone number is (843) 276-9326.

What is Hammocks On The Edisto LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Hammocks On The Edisto LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2210266) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hammocks On The Edisto LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Hammocks On The Edisto LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hammocks On The Edisto LLC was last updated on December 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.