Organization Active NPI

Good Kids Inc

  • Community/Behavioral Health Agency
  • Columbia, SC
National Provider Identifier
1164831723
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOOD KIDS INC
Practice address
2027 Lake Carolina Dr
Columbia, SC 29229-7030
Phone
(803) 319-9882
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Mr. Rasheem Davis
Title
President
Phone
(803) 319-9882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2027 Lake Carolina Dr
Columbia, SC 29229-7030

Mailing address

2027 Lake Carolina Dr
Columbia, SC 29229-7030
Phone (804) 714-5177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1164831723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 LAKE CAROLINA DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297030",
            "telephone_number": "804-714-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 LAKE CAROLINA DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297030",
            "telephone_number": "803-319-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD KIDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RASHEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-319-9882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.