Organization Active NPI

Purpose-SC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Greenville, SC
National Provider Identifier
1124260427
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PURPOSE-SC
Practice address
5321 Old Buncombe Rd
Greenville, SC 29609-0910
Phone
(864) 313-4530
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Latonya Williams
Title
Executive Director Adult Services
Phone
(864) 313-4530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

5321 Old Buncombe Rd
Greenville, SC 29609-0910

Mailing address

5321 Old Buncombe Rd
Greenville, SC 29609-0910
Phone (864) 313-5274

Other identifiers 2

IdentifierTypeStateIssuer
936MXHMedicaidSC
883MXHMedicaidSC

National Provider Directory

National Provider Directory

Locations

1399 Harmony Camp Rd
Greeleyville, SC 29056
Phone (803) 473-4656

5321 Old Buncombe Rd
Greenville, SC 29609
Phone (864) 313-4530

1991 Glenns Bay Rd
Myrtle Beach, SC 29575

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1124260427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 OLD BUNCOMBE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296090910",
            "telephone_number": "864-313-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 OLD BUNCOMBE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296090910",
            "telephone_number": "864-313-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE-SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR ADULT SERVICES",
        "authorized_official_telephone_number": "864-313-4530"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936MXH",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883MXH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.