CAROLINA WREN SLEEP SERVICE LLC — NPI 1508546656 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in MULLINS, SC)

CMS-1500 Box 24J / 33a • NPI

1508546656

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QS1200X (CMS C0)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

242 S MAIN ST, MULLINS, SC, 29574-3120

✓ 9-Digit EDI 837 ZIP+4 (29574-3120)

Practice Phone & Referral Fax

(843) 289-1574

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1508546656 (CAROLINA WREN SLEEP SERVICE 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1508546656` (NPI-2 Organization / Facility)
Provider / Legal Name	CAROLINA WREN SLEEP SERVICE LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QS1200X` (Clinic/Center, Sleep Disorder Diagnostic)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	242 S MAIN ST, MULLINS, SC, 29574-3120
Practice Telephone / Fax	Tel: (843) 289-1574
Administrative Mailing Address	242 S MAIN ST, MULLINS, SC, 29574-3120
Enumeration & Last Sync	Enumerated: 2023-07-24 \| CMS Record Updated: 2023-07-24
Authorized Official	CURTIS RUSH (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

242 S MAIN ST, MULLINS, SC, 29574-3120

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Plain-English Taxonomy & CMS Crosswalk (261QS1200X)

What Does Taxonomy Code 261QS1200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QS1200X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C0 (Physician/Sleep Medicine)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CAROLINA WREN SLEEP SERVICE LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`293D00000X` — Physiological Laboratory Plain English: Licensed & Credentialed Laboratories — Physiological Laboratory	State: N/A \| License: `Verified` \| Primary: Secondary
`332BX2000X` — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	State: N/A \| License: `Verified` \| Primary: Secondary
`261QS1200X` — Clinic/Center, Sleep Disorder Diagnostic Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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CAROLINA WREN SLEEP SERVICE LLC (NPI #1508546656)