Organization Active NPI

Littlejohn Community Center

  • Meals Provider
  • Clemson, SC
National Provider Identifier
1346835592
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
LITTLEJOHN COMMUNITY CENTER
Practice address
644 Old Greenville Hwy
Clemson, SC 29631-1225
Phone
(864) 653-3835
Fax
(864) 653-3852
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Mrs. Adraine Garner
Title
Executive Director
Phone
(864) 653-3835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary

Addresses

Primary practice location

644 Old Greenville Hwy
Clemson, SC 29631-1225

Mailing address

644 Old Greenville Hwy
Clemson, SC 29631-1225
Phone (864) 653-3835

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@ljohncc.org Direct

National Provider Directory

National Provider Directory

Locations

644 Old Greenville Hwy
Clemson, SC 29631
Phone (864) 653-3835

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1346835592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 OLD GREENVILLE HWY",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311225",
            "telephone_number": "864-653-3835",
            "fax_number": "864-653-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 OLD GREENVILLE HWY",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311225",
            "telephone_number": "864-653-3835",
            "fax_number": "864-653-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLEJOHN COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "ADRAINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-653-3835",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@ljohncc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "644 Old Greenville Hwy",
            "city": "Clemson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296311225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.