Active NPI
Good Kids Inc
- Community/Behavioral Health Agency
- Columbia, SC
National Provider Identifier
1164831723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.