NPIMap

Organization Active NPI

Windwood Farm Home for Children, Inc.

  • Psychiatric Residential Treatment Facility
  • Awendaw, SC
National Provider Identifier
1033437801
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
RTF-0025 Issued in SC
Legal business name
WINDWOOD FARM HOME FOR CHILDREN, INC.
Practice address
4857 Windwood Farm Rd
Awendaw, SC 29429-5951
Phone
(843) 884-5342
Fax
(843) 884-1287
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Ms. Deborah D. McKelvey
Title
Executive Director
Phone
(843) 884-5342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X RTF-0025 SC Primary

Addresses

Primary practice location

4857 Windwood Farm Rd
Awendaw, SC 29429-5951

Mailing address

4857 Windwood Farm Rd
Awendaw, SC 29429-5951
Phone (843) 884-5342

Other names 1

  • Riverside Behavioral Health Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Psychiatric residential treatment facility certification: CCN 42L018

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RIVERSIDE BEHAVIORAL HEALTH SERVICES AT WINDWOOD
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Apr 15, 2010
Last certification
May 23, 2023
Beds
12
Ownership / control type
For profit – individual
Facility address
4857 Windwood Farm Road
Awendaw, SC 29429

National Provider Directory

National Provider Directory
Tax ID family
Windwood Farm Home5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1033437801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 WINDWOOD FARM RD",
            "city": "AWENDAW",
            "state": "SC",
            "postal_code": "294295951",
            "telephone_number": "843-884-5342",
            "fax_number": "843-884-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 WINDWOOD FARM RD",
            "city": "AWENDAW",
            "state": "SC",
            "postal_code": "294295951",
            "telephone_number": "843-884-5342",
            "fax_number": "843-884-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWOOD FARM HOME FOR CHILDREN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "MCKELVEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-884-5342",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "SC",
            "license": "RTF-0025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Behavioral Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Awendaw, SC

Sources for this page

Verify at the official NPI Registry.