Organization Active NPI

First Calvary Baptist Church Adult Day Care

  • Adult Day Care Clinic/Center
  • Rock Hill, SC
National Provider Identifier
1316095300
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADC154 Issued in SC
Legal business name
FIRST CALVARY BAPTIST CHURCH ADULT DAY CARE
Practice address
228 Lucky Lane
Rock Hi LL, SC 29730
Phone
(803) 327-9595
Fax
(803) 985-4363
NPI assigned
Jan 8, 2007
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
Larkin Lee Hancock Sr.
Title
Director
Phone
(803) 327-9181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADC154 SC Primary

Addresses

Primary practice location

228 Lucky Lane
Rock Hi LL, SC 29730

Mailing address

PO Box 164
Rock Hill, SC 29731-0164
Phone (803) 327-9595

Other identifiers 1

IdentifierTypeStateIssuer
EX0512MedicaidSC

National Provider Directory

National Provider Directory

Locations

228 Lucky Ln
Rock Hill, SC 29730
Phone (803) 327-9595

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316095300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297310164",
            "telephone_number": "803-327-9595",
            "fax_number": "803-985-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 LUCKY LANE",
            "city": "ROCK HI LL",
            "state": "SC",
            "postal_code": "29730",
            "telephone_number": "803-327-9595",
            "fax_number": "803-985-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CALVARY BAPTIST CHURCH ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "LARKIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-327-9181",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": "ADC154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0512",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, 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.