OrganizationActive
Klassic Black Enterprise LLC
NPI 1093516163 · In Home Supportive Care Agency · Sumter, SC
Klassic Black Enterprise LLC is a In Home Supportive Care Agency organization in Sumter, SC (NPI 1093516163).
Provider details
- NPI number
- 1093516163
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Victoria Clonmell, Owner(803) 464-3424
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
698 Bultman Dr Unit L
Sumter, SC 29150-2549
Phone: (803) 464-3424
Street-level locationGet directions
Mailing address
937 Mordred St
Sumter, SC 29154-7407
Other names (DBA / former)
- Doing business as
- P23 Care
Registry dates
- Enumerated
- 2025-03-24
- Last updated
- 2025-06-20
- Certified
- 2025-06-20
Frequently asked questions
- What is Klassic Black Enterprise LLC's NPI number?
- Klassic Black Enterprise LLC's National Provider Identifier (NPI) is 1093516163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Klassic Black Enterprise LLC?
- Klassic Black Enterprise LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Klassic Black Enterprise LLC located?
- Klassic Black Enterprise LLC's practice location on file with NPPES is 698 Bultman Dr Unit L, Sumter, SC 29150-2549.
- What is Klassic Black Enterprise LLC's phone number?
- The practice phone number listed in the NPPES registry for Klassic Black Enterprise LLC is (803) 464-3424.
- Who is the authorized official for Klassic Black Enterprise LLC?
- The authorized official listed on Klassic Black Enterprise LLC's NPPES record is Victoria Clonmell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Klassic Black Enterprise LLC's NPI active?
- Yes — Klassic Black Enterprise LLC's NPI (1093516163) is active in the NPPES registry as of the last update on 2025-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.