Provider Demographics
NPI:1457938078
Name:IMPERIAL HEALTHCARE LLC
Entity Type:Organization
Organization Name:IMPERIAL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKHART
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:864-205-3809
Mailing Address - Street 1:540 ARBOR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-4300
Mailing Address - Country:US
Mailing Address - Phone:864-205-3809
Mailing Address - Fax:864-396-2034
Practice Address - Street 1:1610B CALHOUN RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649-8907
Practice Address - Country:US
Practice Address - Phone:864-407-4325
Practice Address - Fax:864-396-2034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty