Active NPI
Chesco Services
- Early Intervention Provider Agency
- Chesterfield, SC
National Provider Identifier
1003479395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- CHESCO SERVICES
- Practice address
- 1224 East Blvd
Chesterfield, SC 29709-5148 - Phone
- (843) 623-9016
- Fax
- (843) 623-5406
- NPI assigned
- Apr 22, 2019
- Last updated
- Apr 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jean R Watson
- Title
- Director of Operations
- Phone
- (843) 623-5436
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | NU | Primary |
Addresses
Primary practice location
1224 East Blvd
Chesterfield, SC 29709-5148
Mailing address
PO Box 151
Chesterfield, SC 29709-0151
Phone (843) 623-9016
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1067844 | Chesco Services | Certificate of waiver | Apr 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555891200000",
"number": "1003479395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151",
"city": "CHESTERFIELD",
"state": "SC",
"postal_code": "297090151",
"telephone_number": "843-623-9016",
"fax_number": "843-623-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 EAST BLVD",
"city": "CHESTERFIELD",
"state": "SC",
"postal_code": "297095148",
"telephone_number": "843-623-9016",
"fax_number": "843-623-5406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESCO SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-22",
"last_updated": "2019-04-22",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "843-623-5436"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.