NPIMap

Organization Active NPI

Givebac Incorporated

Doing business as Ace Camp

  • Substance Abuse Rehabilitation Facility
  • Chesterfield, SC
National Provider Identifier
1063681591
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
OTP-002 Issued in SC
Legal business name
GIVEBAC INCORPORATED
Doing business as
Ace Camp
Practice address
1481 Ted Melton Rd
Chesterfield, SC 29709-6313
Phone
(843) 623-3077
Fax
(843) 623-3077
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Jeffrey Lynn McLain, CACIINPI 1043598204
Title
Treatment Director
Phone
(843) 623-3077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X OTP-002 SC Primary

Addresses

Primary practice location

1481 Ted Melton Rd
Chesterfield, SC 29709-6313

Mailing address

1481 Ted Melton Rd
PO Box 347
Chesterfield, SC 29709-6313
Phone (843) 623-3077

Other identifiers 1

IdentifierTypeStateIssuer
CBT015MedicaidSC

Other names 1

  • Ace Camp Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1063681591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 TED MELTON RD",
            "address_2": "PO BOX 347",
            "city": "CHESTERFIELD",
            "state": "SC",
            "postal_code": "297096313",
            "telephone_number": "843-623-3077",
            "fax_number": "843-623-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 TED MELTON RD",
            "city": "CHESTERFIELD",
            "state": "SC",
            "postal_code": "297096313",
            "telephone_number": "843-623-3077",
            "fax_number": "843-623-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIVEBAC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "TREATMENT DIRECTOR",
        "authorized_official_telephone_number": "843-623-3077",
        "authorized_official_credential": "CACII"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "SC",
            "license": "OTP-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBT015",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ace Camp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 28, 2008; 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.