Palmetto Goodwill

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

PALMETTO GOODWILL

Practice address

2150 Eagle Dr
North Charleston, SC 29406-4803

Phone

(843) 566-0072

Fax

(843) 806-3288

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Brian Itzkowitz

Title

Ceo

Phone

(843) 566-0072

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1194472910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 EAGLE DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064803",
            "telephone_number": "843-566-0072",
            "fax_number": "843-806-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 EAGLE DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064803",
            "telephone_number": "843-566-0072",
            "fax_number": "843-806-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO GOODWILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "ITZKOWITZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-566-0072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Developmentally Disabled Services Day Training Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.