Hampton County Disabilities and Special Needs Board

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

CRC-1211 Issued in SC

Legal business name

HAMPTON COUNTY DISABILITIES AND SPECIAL NEEDS BOARD

Practice address

294 Hampton Road
Varnville, SC 29944

Phone

(803) 943-4818

Fax

(803) 943-3322

NPI assigned

Aug 21, 2014

Last updated

Aug 21, 2014By 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. Elise S. McQuire

Title

Executive Director

Phone

(803) 943-4818

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1356740765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299240128",
            "telephone_number": "803-943-4818",
            "fax_number": "803-943-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 HAMPTON ROAD",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "29944",
            "telephone_number": "803-943-4818",
            "fax_number": "803-943-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON COUNTY DISABILITIES AND SPECIAL NEEDS BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "MCQUIRE",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-943-4818",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "SC",
            "license": "DAY0000033",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "SC",
            "license": "CRC-1211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven E Goldberg, MD
• Jenna Gossett
• Victoria Griffis, FNP
• Virginia Hairston, RN
• Hampton County Chiropractic LLC
• Hampton County School District
• Hampton Regional Medical Center (Coastal Plains Primary Care)
• Hampton Regional Medical Center (Hampton CRNA Services)
• Hampton Regional Medical Center
• Hampton Regional Medical Center (Coastal Plains Primary Care)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Varnville, SC
• Providers in Varnville, SC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.