Active NPI
Management Services of Santee
- Exclusive Provider Organization
- Santee, SC
National Provider Identifier
1104228311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- Legal business name
- MANAGEMENT SERVICES OF SANTEE
- Practice address
- 1580 Bass Dr
Santee, SC 29142-0000 - Phone
- (803) 854-4106
- Fax
- (803) 854-5301
- NPI assigned
- Sep 18, 2014
- Last updated
- Sep 18, 2014
- 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
- Ms. Vanester Seabrooks Ravenell
- Title
- Business Manager
- Phone
- (803) 854-4106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Primary |
Addresses
Primary practice location
1580 Bass Dr
Santee, SC 29142-0000
Mailing address
PO Box 947
Santee, SC 29142-0947
Phone (803) 854-4106
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Social Worker
- Santee, SC
- NPI 1467869776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410998400000",
"number": "1104228311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947",
"city": "SANTEE",
"state": "SC",
"postal_code": "291420947",
"telephone_number": "803-854-4106",
"fax_number": "803-854-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 BASS DR",
"city": "SANTEE",
"state": "SC",
"postal_code": "291420000",
"telephone_number": "803-854-4106",
"fax_number": "803-854-5301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANAGEMENT SERVICES OF SANTEE",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-18",
"last_updated": "2014-09-18",
"status": "A",
"authorized_official_last_name": "RAVENELL",
"authorized_official_first_name": "VANESTER",
"authorized_official_middle_name": "SEABROOKS",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "803-854-4106",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santee, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.