Charleston Orphan House, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CHARLESTON ORPHAN HOUSE, INC.

Practice address

5055 Lackawanna Blvd
North Charleston, SC 29405-4529

Phone

(843) 266-5200

Fax

(843) 266-5201

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Kelley Duncan

Title

Chief Executive Officer

Phone

(843) 266-5222

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carolina Youth Development Center Doing business as

Tax ID family

Carolina Youth Development Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Charleston Orphan House

  • Community/Behavioral Health Agency
  • North Charleston, SC
  • NPI 1437422839
  NPD tax ID
• Charleston Orphan House, Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • North Charleston, SC
  • NPI 1306914056
  NPD tax ID

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1366503443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 LACKAWANNA BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054529",
            "telephone_number": "843-266-5200",
            "fax_number": "843-266-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 LACKAWANNA BLVD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054529",
            "telephone_number": "843-266-5200",
            "fax_number": "843-266-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON ORPHAN HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "KELLEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "843-266-5222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SC",
            "license": "SR-0008037001-CCI",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "992MXH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Youth Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charleston Injury and Rehab LLC
• Charleston Medical Investors, LLC
• Charleston Nephrology Associates, LLC
• Charleston Orphan House
• Charleston Orphan House, Inc
• Charleston Pain Relief Center
• Charleston Pediatric Dentistry, P.a.
• Charleston Pediatric Rehabilitation
• Charleston Physicians for Women PLLC
• Charleston Specialty Rehab Institute Limited Partnership

• Adolescent and Children Mental Health Clinic/Center in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Adolescent and Children Mental Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.