One-Eighty Place

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

ONE-EIGHTY PLACE

Practice address

35 Walnut St
Charleston, SC 29403-4514

Phone

(843) 723-9477

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Selena Wilson

Title

Chief Program Officer

Phone

(843) 737-8382

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• One80 Place Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Crisis Ministries2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Crisis Ministries

  • Voluntary or Charitable Agency
  • Charleston, SC
  • NPI 1871766287
  NPD tax ID

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1316323645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20038",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294130038",
            "telephone_number": "843-737-8382",
            "fax_number": "843-737-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WALNUT ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294034514",
            "telephone_number": "843-723-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE-EIGHTY PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SELENA",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "843-737-8382"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SC",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One80 Place",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Hope Olszewski, DO
• Samay Omary, M.D.
• Omnicare of New York, LLC
• On Solid Grounds
• One on One Quality Care, Inc.
• Ange Mary Oneal
• Sam T. Ontiveros, M.D.
• Ajiroghene Onwawoma
• Tochukwu Jude Onyekwelu, MD
• Ophthalmology Associates of Charleston

• Voluntary or Charitable Agency in Charleston, SC
• Providers in Charleston, SC by specialty
• Voluntary or Charitable Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.