NPIMap

Organization Active NPI

South Carolina Youth Advocate Program

  • Case Management Agency
  • Columbia, SC
National Provider Identifier
1265853238
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOUTH CAROLINA YOUTH ADVOCATE PROGRAM
Practice address
140 Stoneridge Dr
Suite 350
Columbia, SC 29210-8200
Phone
(803) 779-5500
Fax
(803) 779-8444
NPI assigned
Dec 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Mr. Joshua Caughman, M.A.
Title
Director of Community-Based Service
Phone
(803) 779-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

140 Stoneridge Dr
Suite 350
Columbia, SC 29210-8200

Mailing address

140 Stoneridge Drive
Suite 350
Columbia, SC 29201-8200
Phone (803) 779-5500

Other identifiers 1

IdentifierTypeStateIssuer
998MXHMedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
South Carolina Youth Advocate Program3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

140 Stoneridge Dr
Ste 350
Columbia, SC 29210
Phone (803) 779-5500

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1265853238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 STONERIDGE DRIVE",
            "address_2": "SUITE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292018200",
            "telephone_number": "803-779-5500",
            "fax_number": "803-779-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STONERIDGE DR",
            "address_2": "SUITE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108200",
            "telephone_number": "803-779-5500",
            "fax_number": "803-779-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA YOUTH ADVOCATE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "CAUGHMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY-BASED SERVICE",
        "authorized_official_telephone_number": "803-779-5500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998MXH",
            "state": "SC"
        }
    ],
    "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 Dec 18, 2013; 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.