Organization Active NPI

Newberry County Council on Aging

  • Voluntary or Charitable Agency
  • Newberry, SC
National Provider Identifier
1316920788
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
NEWBERRY COUNTY COUNCIL ON AGING
Practice address
1300 Hunt St
Newberry, SC 29108-3036
Phone
(803) 276-8266
NPI assigned
Nov 21, 2005
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
Mrs. Lynn M. Stockman
Title
Executive Director
Phone
(803) 276-8266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1300 Hunt St
Newberry, SC 29108-3036

Mailing address

1300 Hunt St
Newberry, SC 29108-3036
Phone (803) 276-8266

Other identifiers 1

IdentifierTypeStateIssuer
EX0222MedicaidSC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0892264Newberry County Council on Aging1300 Hunt Street, Newberry, SC 29108Certificate of waiverSep 26, 2026

National Provider Directory

National Provider Directory

Locations

1300 Hunt St
Newberry, SC 29108
Phone (803) 276-8266

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316920788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HUNT ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083036",
            "telephone_number": "803-276-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HUNT ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083036",
            "telephone_number": "803-276-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY COUNTY COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOCKMAN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-276-8266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0222",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, 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.
  • 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.