CMS-1500 Box 24J / 33a • NPI
1285164905
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
163WC1600X
Licensed & Credentialed Registered Nurse, Continuing Education/Staff Development
Box 32 Service Location & ZIP+4
992 MANER DR, ALLENDALE, SC, 29810-4334
✓ 9-Digit EDI 837 ZIP+4 (29810-4334)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1285164905 (CAROLINA COUNTRY CARE IN-HOME LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1285164905 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | CAROLINA COUNTRY CARE IN-HOME LLC |
| Plain-English Specialty | Licensed & Credentialed Registered Nurse, Continuing Education/Staff Development NUCC Code: 163WC1600X (Registered Nurse, Continuing Education/Staff Development) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 992 MANER DR, ALLENDALE, SC, 29810-4334 |
| Practice Telephone / Fax | Tel: (912) 682-7892 |
| Administrative Mailing Address | 992 MANER DR, ALLENDALE, SC, 29810-4334 |
| Enumeration & Last Sync | Enumerated: 2017-06-14 | CMS Record Updated: 2024-04-25 |
| Authorized Official | CINDY JACKSON (Administrator) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in ALLENDALE
🔒 Are you CAROLINA COUNTRY CARE IN-HOME LLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (163WC1600X)
What Does Taxonomy Code 163WC1600X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WC1600X translates to:
"Licensed & Credentialed Registered Nurse, Continuing Education/Staff Development"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CAROLINA COUNTRY CARE IN-HOME LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163WC1600X — Registered Nurse, Continuing Education/Staff DevelopmentPlain English: Licensed & Credentialed Registered Nurse, Continuing Education/Staff Development | State: N/A | License: Verified | Primary: Yes (Primary) |
251B00000X — Case ManagementPlain English: Licensed & Credentialed Case Management | State: N/A | License: Verified | Primary: Secondary |
251E00000X — Home HealthPlain English: CMS-Certified Home Health Care & Skilled Nursing Agency | State: N/A | License: Verified | Primary: Secondary |
251J00000X — Nursing CarePlain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) | State: N/A | License: Verified | Primary: Secondary |
253Z00000X — In Home Supportive CarePlain English: Licensed & Credentialed In Home Supportive Care | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.