S&S Boarding Home,LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CRC-1923 Issued in SC

Legal business name

S&S BOARDING HOME,LLC

Practice address

3589 Bluff Rd
Allendale, SC 29810-4139

Phone

(803) 686-1487

Fax

(803) 584-2518

NPI assigned

Oct 20, 2016

Last updated

Oct 20, 2016By 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

Mrs. Elaine E Sabb

Title

Owner

Phone

(803) 686-1487

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1295286573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "ALLENDALE",
            "state": "SC",
            "postal_code": "298100324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3589 BLUFF RD",
            "city": "ALLENDALE",
            "state": "SC",
            "postal_code": "298104139",
            "telephone_number": "803-686-1487",
            "fax_number": "803-584-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&S BOARDING HOME,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "SABB",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-686-1487",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "SC",
            "license": "CRC-1923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.