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Collaborative Healthcare LLC

Physical Medicine & Rehabilitation Physician in Lexington, SC · enumerated 2013 · authorized official Shane Conner, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174961882

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Registry record

Entity type Organization (Type 2)
Legal business name Collaborative Healthcare LLC
Practice address 716 Old Cherokee Rd, Lexington, SC, 29072
Fax (803) 359-3497
Enumeration date Jun 5, 2013
Last updated in NPPES Jun 5, 2013

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Shane Conner
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Collaborative Healthcare LLC?
The NPI for Collaborative Healthcare LLC is 1174961882, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Collaborative Healthcare LLC?
NPPES lists Shane Conner (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-05.