Active NPI
Boys Home of the South
- Community/Behavioral Health Agency
- Belton, SC
National Provider Identifier
1083910517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 968MHX | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Boys Home of the South
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Belton, SC
- NPI 1003845983
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.