NPIMap

Organization Active NPI

Wise Care Services, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Florence, SC
National Provider Identifier
1235797812
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
WISE CARE SERVICES, LLC
Practice address
1435 Deberry Blvd
Florence, SC 29501-5601
Phone
(843) 407-7932
Fax
(843) 580-8301
NPI assigned
May 30, 2019
Last updated
May 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Heather Williamson, LISW-CPNPI 1164845830
Title
Director
Phone
(843) 407-7932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

1435 Deberry Blvd
Florence, SC 29501-5601

Mailing address

1435 Deberry Blvd
Florence, SC 29501-5601
Phone (843) 407-7932

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@wisecaresc.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Wise 22 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1235797812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 DEBERRY BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015601",
            "telephone_number": "843-407-7932",
            "fax_number": "843-580-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 DEBERRY BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015601",
            "telephone_number": "843-407-7932",
            "fax_number": "843-580-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-407-7932",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@wisecaresc.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1435 DeBerry Blvd",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295015601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.