Organization Active NPI

SC Department of Juvenile Justice

  • Community/Behavioral Health Agency
  • N Charleston, SC
National Provider Identifier
1053664409
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SC DEPARTMENT OF JUVENILE JUSTICE
Practice address
3346 Rivers Ave Ste B
N Charleston, SC 29405-5715
Phone
(843) 740-1649
NPI assigned
Oct 23, 2012
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Margaret Barber
Title
Agency Director
Phone
(803) 896-5940

Specialties & licenses 1

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

Addresses

Primary practice location

3346 Rivers Ave Ste B
N Charleston, SC 29405-5715

Mailing address

PO Box 21069
Columbia, SC 29221-1069

Other identifiers 1

IdentifierTypeStateIssuer
DJJ010MedicaidSC

Other names 1

  • Charleston County DJJ Other name

National Provider Directory

National Provider Directory
Tax ID family
Anderson County Health Dept280 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3346 Rivers Ave
Ste B
North Charleston, SC 29405
Phone (843) 740-1649

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1053664409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21069",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292211069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3346 RIVERS AVE STE B",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294055715",
            "telephone_number": "843-740-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC DEPARTMENT OF JUVENILE JUSTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "803-896-5940"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DJJ010",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston County DJJ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.