Organization Active NPI

Boys Home of the South

  • Community/Behavioral Health Agency
  • Belton, SC
National Provider Identifier
1083910517
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BOYS HOME OF THE SOUTH
Practice address
10612 Augusta Rd
Belton, SC 29627-9246
Phone
(864) 243-3443
Fax
(864) 243-5743
NPI assigned
Feb 1, 2011
Last updated
Feb 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Vernon R Hayes
Title
Executive Director
Phone
(864) 243-3443

Specialties & licenses 1

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

Addresses

Primary practice location

10612 Augusta Rd
Belton, SC 29627-9246

Mailing address

10612 Augusta Rd
Belton, SC 29627-9246
Phone (864) 243-3443

Other identifiers 1

IdentifierTypeStateIssuer
968MHXMedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Boys Home of the South2 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": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1083910517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10612 AUGUSTA RD",
            "city": "BELTON",
            "state": "SC",
            "postal_code": "296279246",
            "telephone_number": "864-243-3443",
            "fax_number": "864-243-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10612 AUGUSTA RD",
            "city": "BELTON",
            "state": "SC",
            "postal_code": "296279246",
            "telephone_number": "864-243-3443",
            "fax_number": "864-243-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS HOME OF THE SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-243-3443"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "968MHX",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.