Active NPI
Chosen Ones by God
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Greenwood, SC
National Provider Identifier
1144500190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- CHOSEN ONES BY GOD
- Practice address
- 811 Chace Ave
Greenwood, SC 29646-4491 - Phone
- (864) 323-2723
- NPI assigned
- Aug 23, 2011
- 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. Demarco Reshard Ryan
- Title
- Director
- Phone
- (864) 323-2723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
811 Chace Ave
Greenwood, SC 29646-4491
Mailing address
811 Chace Ave
Greenwood, SC 29646-4491
Phone (864) 323-2723
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314057600000",
"number": "1144500190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 CHACE AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464491",
"telephone_number": "864-323-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 CHACE AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464491",
"telephone_number": "864-323-2723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOSEN ONES BY GOD",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-23",
"last_updated": "2011-08-23",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "DEMARCO",
"authorized_official_middle_name": "RESHARD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "864-323-2723",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.