Hidden Sentence the Rehab Period

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

HIDDEN SENTENCE THE REHAB PERIOD

Practice address

1731 Rhynes TRL
Rock Hill, SC 29732-5566

Phone

(803) 524-8909

NPI assigned

Feb 9, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Fredreka Wilson Moffatt

Title

Executive Director

Phone

(803) 524-8909

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1376297150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 RHYNES TRL",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297325566",
            "telephone_number": "803-524-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 RHYNES TRL",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297325566",
            "telephone_number": "803-524-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN SENTENCE THE REHAB PERIOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "MOFFATT",
        "authorized_official_first_name": "FREDREKA",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-524-8909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "501(C)3",
            "identifier": "260536140034111",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kia Catoe Hicklin
• Leland Hicklin
• Bevelyn Hicks
• Molly M Hicks, AUD
• Theresa Isabella Hicks, PA-C
• Christine Nicole High, RN
• James Hartwell Hildebrand, OD
• Linda Hill, B.A.
• Olivia Frances Hill, PHARMD
• Amy Marie Hills, OTR/L

• Case Management Agency in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Case Management Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.