A Success Story

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

A SUCCESS STORY

Practice address

25 Fleetwood Dr
Greenville, SC 29605-1510

Phone

(864) 906-6645

NPI assigned

Aug 5, 2007

Last updated

Aug 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Demian Jerard Edwards

Title

President

Phone

(864) 906-6645

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1285825448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FLEETWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051511",
            "telephone_number": "864-906-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FLEETWOOD DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051510",
            "telephone_number": "864-906-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SUCCESS STORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DEMIAN",
        "authorized_official_middle_name": "JERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-906-6645"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• Case Management Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.