South Carolina Dept of Mental Health Accounting Office

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF921 Issued in SC

Legal business name

SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Doing business as

Veterans Victory House

Practice address

2461 Sidneys Rd
Walterboro, SC 29488-6783

Phone

(843) 538-3000

NPI assigned

Aug 12, 2006

Last updated

Sep 20, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH CAROLINA DEPT OF MENTAL HEALTHAs reported in NPPES

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

Authorized official

Name

Versie Bellamy

Title

Deputy Director

Phone

(803) 935-5761

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Veterans Victory House Doing business as

Part of

Pee Dee Mental Health C

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1104838192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292020485",
            "telephone_number": "803-898-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 SIDNEYS RD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294886783",
            "telephone_number": "843-538-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CAROLINA DEPT OF MENTAL HEALTH",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "BELLAMY",
        "authorized_official_first_name": "VERSIE",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "803-935-5761"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0921NF",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veterans Victory House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Veterans Victory House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl A Smith, MD
• Katherine Smith
• Michael Smith, M.D.
• Keith Allen Snyder, RPH
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #03585)
• South Carolina Dept of Mental Health Accounting Office (Veterans Victory House)
• South Carolina Em-I Medical Services, PC
• South Carolina Em-I Medical Services, PC
• South River Merrimon Fire & EMS Inc.
• Brittany Springle, PTA

• Skilled Nursing Facility in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.