Organization Active NPI

Chesco Services

  • Early Intervention Provider Agency
  • Chesterfield, SC
National Provider Identifier
1003479395
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1067844Chesco Services1224 East Blvd, Chesterfield, SC 29709Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.