Active NPI
Turning Point Boys Home, Inc
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Chesterfield, SC
National Provider Identifier
1114068301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- CR1002414001GH
- Legal business name
- TURNING POINT BOYS HOME, INC
- Practice address
- 3184 Hunts Mill Road
Chesterfield, SC 29709 - Phone
- (843) 498-7077
- Fax
- (843) 498-7077
- NPI assigned
- Feb 9, 2007
- 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
- Mr. Bryan Oneal Jackson, DO
- Title
- Director
- Phone
- (843) 858-4425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | CR1002414001GH | SC | Primary |
Addresses
Primary practice location
3184 Hunts Mill Road
Chesterfield, SC 29709
Mailing address
3184 Hunts Mill Road
Chesterfield, SC 29709
Phone (843) 498-7077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887MXH | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216252800000",
"number": "1114068301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3184 HUNTS MILL ROAD",
"city": "CHESTERFIELD",
"state": "SC",
"postal_code": "29709",
"telephone_number": "843-498-7077",
"fax_number": "843-498-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3184 HUNTS MILL ROAD",
"city": "CHESTERFIELD",
"state": "SC",
"postal_code": "29709",
"telephone_number": "843-498-7077",
"fax_number": "843-498-7077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TURNING POINT BOYS HOME, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2008-07-17",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "ONEAL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "843-858-4425",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "SC",
"license": "CR1002414001GH",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887MXH",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.