| Limitless Health Connections, Llc | |
|
2323 Saint Matthews Rd Orangeburg SC 29118-2042 | |
| (803) 310-5994 | |
| (803) 219-8954 |
| Full Name | Limitless Health Connections, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2323 Saint Matthews Rd, Orangeburg, South Carolina |
| Authorized Official Name and Position | Latasha Denise Hott (OWNER) |
| Authorized Official Contact | 8033105994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Limitless Health Connections, Llc 2323 Saint Matthews Rd Orangeburg SC 29118-2042 Ph: (803) 310-5994 | Limitless Health Connections, Llc 2323 Saint Matthews Rd Orangeburg SC 29118-2042 Ph: (803) 310-5994 |
| NPI Number | 1225532476 |
|---|---|
| Provider Enumeration Date | 03/22/2018 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 3274889720 |
|---|---|
| Medicare Enrollment ID | O20180713000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225532476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20663 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 20663 (South Carolina) | Primary |
| Provider Name | Cameo Aleece Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366811754 PECOS PAC ID: 6406159078 Enrollment ID: I20160115000002 |
| Provider Name | Debra A Bjork |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033429568 PECOS PAC ID: 5991009730 Enrollment ID: I20160215001945 |
| Provider Name | Latasha Denise Hott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154862746 PECOS PAC ID: 4880979483 Enrollment ID: I20170614002678 |
| Provider Name | Tierra Shemon Izzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386333714 PECOS PAC ID: 1153781216 Enrollment ID: I20230720002560 |
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