Organization Active NPI

Epiphany Family Services LLC

  • Community/Behavioral Health Agency
  • Rock Hill, SC
National Provider Identifier
1013379569
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EPIPHANY FAMILY SERVICES LLC
Practice address
454 Anderson Rd S
Suite 162
Rock Hill, SC 29730-3392
Phone
(704) 236-4067
Fax
(803) 324-0208
NPI assigned
Mar 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Vera H Millner, CSAC
Title
Ceo
Phone
(704) 236-4067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

454 Anderson Rd S
Suite 162
Rock Hill, SC 29730-3392

Mailing address

423 N Granard St
Gaffney, SC 29341-2345
Phone (704) 236-4067

Other identifiers 1

IdentifierTypeStateIssuer
120BHSMedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Epiphany Family Services LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1013379569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N GRANARD ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412345",
            "telephone_number": "704-236-4067",
            "fax_number": "803-324-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ANDERSON RD S",
            "address_2": "SUITE 162",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303392",
            "telephone_number": "704-236-4067",
            "fax_number": "803-324-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "MILLNER",
        "authorized_official_first_name": "VERA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-236-4067",
        "authorized_official_credential": "CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120BHS",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.