Greenville County Commission on Alcohol and Drug Abuse

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GREENVILLE COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE

Doing business as

The Phoenix Center

Practice address

1400 Cleveland St
Greenville, SC 29607-2410

Phone

(864) 467-3780

Fax

(864) 467-3779

NPI assigned

Apr 13, 2016

Last updated

Apr 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Maddox

Title

Deputy Director

Phone

(864) 467-3742

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Phoenix Center Doing business as

Tax ID family

Greenville County Commission on Alcohol and Drug Abuse3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Greenville County Commission on Alcohol and Drug Abuse

  dba The Phoenix Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Greenville, SC
  • NPI 1891795738
  NPD tax ID
• Phoenix Center

  • Substance Abuse Rehabilitation Facility
  • Greenville, SC
  • NPI 1861892259
  NPD tax ID

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1093179335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CLEVELAND ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072410",
            "telephone_number": "864-467-3780",
            "fax_number": "864-467-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CLEVELAND ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072410",
            "telephone_number": "864-467-3780",
            "fax_number": "864-467-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "864-467-3742",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD06GV",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Phoenix Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greenville ASC LLC (Endoscopy Center Of The Upstate)
• Greenville Avenue Dentistry, PC (Greenville Avenue Dentistry)
• Greenville Bilingual Therapy
• Greenville Colon & Rectal Assoc PA
• Greenville Community Healthcare, LLC (Patewood Post Acute)
• Greenville County Commission on Alcohol and Drug Abuse (The Phoenix Center)
• Greenville County Disabilities and Special Needs Board
• Greenville County School District
• Greenville County School District
• Greenville Dental Sleep Medicine, LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.