Organization Active NPI

Turning Point Boys Home, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Chesterfield, SC
National Provider Identifier
1114068301
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
CR1002414001GH Issued in SC
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

Updated by the provider on Jul 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
887MXHMedicaidSC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.