Organization Active NPI

Darlington County Council on Aging

  • Voluntary or Charitable Agency
  • Darlington, SC
National Provider Identifier
1154796795
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
DARLINGTON COUNTY COUNCIL ON AGING
Practice address
402 Pearl St
Darlington, SC 29532-3815
Phone
(843) 393-8521
Fax
(843) 393-2343
NPI assigned
Dec 8, 2015
Last updated
Dec 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Jacke G Anderson
Title
Executive Director
Phone
(843) 393-8521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

402 Pearl St
Darlington, SC 29532-3815

Mailing address

402 Pearl St
Darlington, SC 29532-3815
Phone (843) 393-8521

Other identifiers 1

IdentifierTypeStateIssuer
EX0082MedicaidSC

National Provider Directory

National Provider Directory

Locations

402 Pearl St
Darlington, SC 29532
Phone (843) 393-8521

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1154796795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 PEARL ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323815",
            "telephone_number": "843-393-8521",
            "fax_number": "843-393-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 PEARL ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323815",
            "telephone_number": "843-393-8521",
            "fax_number": "843-393-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARLINGTON COUNTY COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JACKE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-393-8521"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0082",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darlington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.