Organization Active NPI

Reid House of Christian Service

  • Adult Day Care Clinic/Center
  • Charleston, SC
National Provider Identifier
1124231337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADC-025 Issued in SC
Legal business name
REID HOUSE OF CHRISTIAN SERVICE
Practice address
165 Saint Philip St
Charleston, SC 29403-5457
Phone
(843) 723-7138
Fax
(843) 722-8797
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Dolores S. Greene, MSW
Title
Executive Director
Phone
(843) 723-7138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADC-025 SC Primary

Addresses

Primary practice location

165 Saint Philip St
Charleston, SC 29403-5457

Mailing address

PO Box 22132
Charleston, SC 29413-2132
Phone (843) 723-7138

Other identifiers 1

IdentifierTypeStateIssuer
EX0610MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124231337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22132",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294132132",
            "telephone_number": "843-723-7138",
            "fax_number": "843-722-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SAINT PHILIP ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035457",
            "telephone_number": "843-723-7138",
            "fax_number": "843-722-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID HOUSE OF CHRISTIAN SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-723-7138",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": "ADC-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0610",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.