A & a Residential Care Facility

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

A & A RESIDENTIAL CARE FACILITY

Practice address

121 S Highland Forest Dr
Columbia, SC 29203-1915

Phone

(803) 465-0907

Fax

(803) 569-6447

NPI assigned

Apr 9, 2009

Last updated

Aug 27, 2015By 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

Ms. Angeline A. Smith

Title

Owner

Phone

(803) 465-0907

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1356584155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S HIGHLAND FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292031915",
            "telephone_number": "803-465-0907",
            "fax_number": "803-569-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S HIGHLAND FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292031915",
            "telephone_number": "803-465-0907",
            "fax_number": "803-569-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & A RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANGELINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-465-0907",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "SC",
            "license": "2008-36502-35667",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.