Organization Active NPI

Laurens School District 55

  • Developmentally Disabled Services Day Training Agency
  • Laurens, SC
National Provider Identifier
1003899238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LAURENS SCHOOL DISTRICT 55
Practice address
1029 W Main St
Laurens, SC 29360-2654
Phone
(864) 984-8128
Fax
(864) 984-8113
NPI assigned
Nov 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Patricia Lynn Wilbanks, SCHOOL DISTRICT
Title
Special Services
Phone
(864) 984-8128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

1029 W Main St
Laurens, SC 29360-2654

Mailing address

1029 W Main St
Laurens, SC 29360-2654
Phone (864) 984-8128

National Provider Directory

National Provider Directory
Tax ID family
Laurens School Dist552 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1029 W Main St
Laurens, SC 29360
Phone (864) 984-8128

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003899238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 W MAIN ST",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602654",
            "telephone_number": "864-984-8128",
            "fax_number": "864-984-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 W MAIN ST",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602654",
            "telephone_number": "864-984-8128",
            "fax_number": "864-984-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENS SCHOOL DISTRICT 55",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILBANKS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPECIAL SERVICES",
        "authorized_official_telephone_number": "864-984-8128",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SCHOOL DISTRICT"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.