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REGENERATIVE HEALTH 360 LLC
NPI 1912598707
Clinic/Center in Myrtle Beach, SC

Active since February 03, 2021
4610 OLEANDER DR STE 102, MYRTLE BEACH, SC 29577(843) 945-9803 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Regenerative Health 360 Llc NPPES

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

REGENERATIVE HEALTH 360 LLC (NPI 1912598707) is a healthcare organization registered as a clinic/center in Myrtle Beach, South Carolina and active in the NPI registry since February 2021. The organization lists Jeffrey Jones, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912598707
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameREGENERATIVE HEALTH 360 LLC
Location Address4610 OLEANDER DR STE 102Myrtle Beach, SC 29577-5752
Mailing Address1650 Skylyn Dr Ste 420Spartanburg, SC 29307-1047 · (864) 464-7985 · Fax (864) 308-3825
Phone(843) 945-9803
Organization SubpartNo
Authorized OfficialJeffrey JonesCeo · (864) 464-7985
Enumeration DateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1912598707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4610 OLEANDER DR STE 102, Myrtle Beach, SC 29577
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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. LEONARD JAMES COCHRANE III DMD
Dentist
4610 OLEANDER DR STE 102
MYRTLE BEACH, SC 29577
Horry County (864) 313-6656
AMNESTY HEALTH GROUP LLC
Clinic/Center
4610 OLEANDER DR STE 102
MYRTLE BEACH, SC 29577
Horry County (843) 945-9803
COASTAL PERIODONTICS LLC
Dentist (Periodontics)
4610 OLEANDER DR STE 102
MYRTLE BEACH, SC 29577
Horry County (843) 839-4711

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 Regenerative Health 360 LLC's NPI number?

The NPI number for Regenerative Health 360 LLC is 1912598707. It was assigned to this organization in the NPPES registry on February 3, 2021.

Where is Regenerative Health 360 LLC located?

Regenerative Health 360 LLC is located at 4610 Oleander Dr Ste 102, Myrtle Beach, SC 29577. The listed phone number is (843) 945-9803.

What is Regenerative Health 360 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Regenerative Health 360 LLC was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.