Organization Active NPI

Carolina Birth Center

Doing business as Carolina Waterbirth

  • Clinic/Center
  • Simpsonville, SC
National Provider Identifier
1083912984
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CAROLINA BIRTH CENTER
Doing business as
Carolina Waterbirth
Practice address
915 South St Ste J
Simpsonville, SC 29681-3210
Phone
(864) 329-0010
Fax
(864) 228-2221
NPI assigned
Mar 2, 2011
Last updated
Mar 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Cynthia GlennNPI 1740218726
Title
Owner
Phone
(864) 329-0010

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

915 South St Ste J
Simpsonville, SC 29681-3210

Mailing address

915 South St Ste J
Simpsonville, SC 29681-3210
Phone (864) 329-0010

Other identifiers 1

IdentifierTypeStateIssuer
LMW009MedicaidSC

Other names 1

  • CAROLINA WATERBIRTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolina Birth Center2 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.

Locations

915 South St
Ste J
Simpsonville, SC 29681
Phone (864) 329-0010

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": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1083912984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SOUTH ST STE J",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813210",
            "telephone_number": "864-329-0010",
            "fax_number": "864-228-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SOUTH ST STE J",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813210",
            "telephone_number": "864-329-0010",
            "fax_number": "864-228-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-329-0010"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LMW009",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA WATERBIRTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.