Provider Demographics
NPI:1518436880
Name:THERAPY INSTITUTE OF THE CAROLINAS, LLC
Entity type:Organization
Organization Name:THERAPY INSTITUTE OF THE CAROLINAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LINGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-835-0699
Mailing Address - Street 1:6237 CAROLINA COMMONS DR STE 320
Mailing Address - Street 2:
Mailing Address - City:INDIAN LAND
Mailing Address - State:SC
Mailing Address - Zip Code:29707-6014
Mailing Address - Country:US
Mailing Address - Phone:803-835-0699
Mailing Address - Fax:803-835-0777
Practice Address - Street 1:6237 CAROLINA COMMONS DR STE 320
Practice Address - Street 2:
Practice Address - City:INDIAN LAND
Practice Address - State:SC
Practice Address - Zip Code:29707-6014
Practice Address - Country:US
Practice Address - Phone:803-835-0699
Practice Address - Fax:803-835-0777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP8405Medicaid