Faithful Adult Daycare Services, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ADC-0420 Issued in SC

Legal business name

FAITHFUL ADULT DAYCARE SERVICES, LLC

Practice address

21 Saint Matthews Rd
St Matthews, SC 29135-8400

Phone

(803) 655-5002

Fax

(803) 655-5001

NPI assigned

Dec 28, 2017

Organization subpart

No

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

Authorized official

Name

Bettye Ravenell

Title

Principal

Phone

(803) 655-5002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1194231191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SAINT MATTHEWS RD",
            "city": "ST MATTHEWS",
            "state": "SC",
            "postal_code": "291358400",
            "telephone_number": "803-655-5002",
            "fax_number": "803-655-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SAINT MATTHEWS RD",
            "city": "ST MATTHEWS",
            "state": "SC",
            "postal_code": "291358400",
            "telephone_number": "803-655-5002",
            "fax_number": "803-655-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL ADULT DAYCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "RAVENELL",
        "authorized_official_first_name": "BETTYE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "803-655-5002"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": "ADC-0420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Julia Edwards, DO
• Christina Walker Elmore, RD,
• Cheryl D English, MSW
• Everside Health-Zeus St. Matthews
• Every Vet Counts Psychological Care LLC
• Faithful Home Care Services, LLC
• Family Health Centers, Inc (St. Matthews Medical Center Pharmacy)
• Family Health Centers, Inc. (St. Matthews Medical Center)
• Mary B Fischer, RN
• Amber Fitzpatrick, BEHAVIOR ASSISTANT

• Adult Day Care Clinic/Center in St Matthews, SC
• Providers in St Matthews, SC by specialty
• Adult Day Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.