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HARBORSIDE HEALTHCARE
NPI 1881539070
Family Medicine in Mount Pleasant, SC

Active since April 22, 2026CLIA 42D2338817 · Waiver
246 MATHIS FERRY RD STE 100, MOUNT PLEASANT, SC 29464(843) 900-6742(803) 237-8387 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Harborside Healthcare NPPES

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

HARBORSIDE HEALTHCARE (NPI 1881539070) is a healthcare organization registered as a family medicine in Mount Pleasant, South Carolina and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through February 17, 2028 and lists Justine Decastro, Owner, as its authorized official.

NPPES Registry Identity

NPI1881539070
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHARBORSIDE HEALTHCARE
Location Address246 MATHIS FERRY RD STE 100Mount Pleasant, SC 29464-2987
Mailing Address1050 Johnnie Dodds Blvd # 1116Mt Pleasant, SC 29464-3684 · (843) 900-6742 · Fax (843) 962-5327
Phone(843) 900-6742
Fax(803) 237-8387
Organization SubpartNo
Authorized OfficialJustine DecastroOwner · (843) 900-6742
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1881539070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
246 MATHIS FERRY RD STE 100, Mount Pleasant, SC 29464
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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

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 42D2338817

Harborside Healthcare · Mt Pleasant, SC
Active · expires Feb 17, 2028
CLIA Number42D2338817
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorJustine Decastro
Laboratory Phone(843) 900-6742
Laboratory LocationHarborside Healthcare1280 Hospital Drive Suite 301, Mt Pleasant, SC 29464
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. JUSTINE DE LA ROSA DECASTRO M.D.
Family Medicine
246 MATHIS FERRY RD STE 100
MOUNT PLEASANT, SC 29464
Charleston County (843) 900-6742
RACHEL KEPES FERRITER LPC 6501
Counselor (Professional)
246 MATHIS FERRY RD STE 100
MOUNT PLEASANT, SC 29464
Charleston County (843) 971-5171
DR. JENNIFER SUE PULLANO D.O.
Family Medicine
246 MATHIS FERRY RD STE 100
MT PLEASANT, SC 29464
Charleston County (843) 971-9900

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 Harborside Healthcare's NPI number?

The NPI number for Harborside Healthcare is 1881539070. It was assigned to this organization in the NPPES registry on April 22, 2026.

Where is Harborside Healthcare located?

Harborside Healthcare is located at 246 Mathis Ferry Rd Ste 100, Mount Pleasant, SC 29464. The listed phone number is (843) 900-6742.

What is Harborside Healthcare's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Harborside Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2338817) is associated with this NPI, valid through February 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Harborside Healthcare was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.