Organization Active NPI

Specialized Alternatives for Families and Youth

  • Case Management Agency
  • Columbia, SC
National Provider Identifier
1306822127
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
SR-0009100001-CPA Issued in SC
Legal business name
SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH
Practice address
800 Dutch Square Blvd
Columbia, SC 29210-7317
Phone
(803) 791-7328
Fax
(803) 791-4198
NPI assigned
Dec 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Schulte
Title
Jr Accountant
Phone
(419) 695-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X SR-0009100001-CPA SC Primary

Addresses

Primary practice location

800 Dutch Square Blvd
Columbia, SC 29210-7317

Mailing address

10100 Elida Rd
Delphos, OH 45833-9056
Phone (419) 695-8010

Other identifiers 2

IdentifierTypeStateIssuer
948MXHMedicaidSC
SR0009100001CPAOtherSCLISCENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Specialized Alternative for Families and Youth of South Carolina Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

800 Dutch Square Blvd
Columbia, SC 29210
Phone (803) 791-7328

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306822127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010",
            "fax_number": "419-695-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 DUTCH SQUARE BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107317",
            "telephone_number": "803-791-7328",
            "fax_number": "803-791-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED ALTERNATIVES FOR FAMILIES AND YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "JR ACCOUNTANT",
        "authorized_official_telephone_number": "419-695-8010"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "SC",
            "license": "SR-0009100001-CPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "948MXH",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE NUMBER",
            "identifier": "SR0009100001CPA",
            "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 Aug 22, 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.

Verify at the official NPI Registry.