Active NPI
Next Level Fitness & Boxing
- Developmentally Disabled Services Day Training Agency
- North Augusta, SC
National Provider Identifier
1235733809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- NEXT LEVEL FITNESS & BOXING
- Practice address
- 738 E Martintown Rd
North Augusta, SC 29841-4288 - Phone
- (803) 292-2480
- NPI assigned
- Nov 24, 2020
- 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. Lenola Laverne Cooks
- Title
- Chief Book Keeper
- Phone
- (803) 278-5563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
738 E Martintown Rd
North Augusta, SC 29841-4288
Mailing address
1059 Todd Ave
North Augusta, SC 29841-4451
Phone (803) 278-5563
National Provider Directory
National Provider DirectoryLocations
738 E Martintown Rd
North Augusta, SC 29841
Phone (803) 292-2480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606176000000",
"number": "1235733809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1059 TODD AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298414451",
"telephone_number": "803-278-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "738 E MARTINTOWN RD",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298414288",
"telephone_number": "803-292-2480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXT LEVEL FITNESS & BOXING",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A",
"authorized_official_last_name": "COOKS",
"authorized_official_first_name": "LENOLA",
"authorized_official_middle_name": "LAVERNE",
"authorized_official_title_or_position": "CHIEF BOOK KEEPER",
"authorized_official_telephone_number": "803-278-5563",
"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": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.