Provider Demographics
NPI:1700589280
Name:CHARLESTON SENIORS, LLC
Entity Type:Organization
Organization Name:CHARLESTON SENIORS, LLC
Other - Org Name:SENIORS HELPING SENIORS CHARLESTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:STEBBINS
Authorized Official - Last Name:YAHR
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:843-699-2970
Mailing Address - Street 1:436 RICE HOPE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-9273
Mailing Address - Country:US
Mailing Address - Phone:843-709-6553
Mailing Address - Fax:
Practice Address - Street 1:436 RICE HOPE DR
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-9273
Practice Address - Country:US
Practice Address - Phone:843-709-6553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care