Rehoboth Community Enrichment Service

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REHOBOTH COMMUNITY ENRICHMENT SERVICE

Practice address

302 S Limestone St Ste 3&4
Gaffney, SC 29340-3000

Phone

(864) 266-2291

NPI assigned

Oct 25, 2011

Last updated

Oct 25, 2011By 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

Mr. Danny Burnside Sr.NPI 1093023160

Title

Therapist/Ceo

Phone

(864) 266-2291

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danny Burnside Sr., M.DIV., M.A. PH. D.

  • Professional Counselor
  • Boiling Springs, SC
  • NPI 1093023160
  Authorized official Same address or phone

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1326324120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S LIMESTONE ST STE 3&4",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293403000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S LIMESTONE ST STE 3&4",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293403000",
            "telephone_number": "864-266-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHOBOTH COMMUNITY ENRICHMENT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "BURNSIDE",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "THERAPIST/CEO",
        "authorized_official_telephone_number": "864-266-2291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Ranns
• Dawn Renee Ranns, ATC
• Barbara C Ray, MD
• Regenesis Organization Community Health Center (Gaffney Medical Center)
• Regenesis Organization Community Health Center (Regenesis Health Care Pharmacy #2)
• Tonya Reid, NP
• Farah Reynolds, MCD
• Kayla Reynolds
• Mark Reynolds, NP
• Michael Reynolds

• Community/Behavioral Health Agency in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.