In His Image Outreach

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

IN HIS IMAGE OUTREACH

Practice address

700 E Shockley Ferry Rd Ste A5
Anderson, SC 29624-2937

Phone

(864) 381-5248

NPI assigned

Jan 14, 2021

Organization subpart

No

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

Authorized official

Name

Beverly White

Title

Founder

Phone

(864) 381-5248

Specialties & licenses 1

Addresses

Tax ID family

In His Image Outreach2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• In His Image Outreach

  • Behavior Analyst
  • Anderson, SC
  • NPI 1104698695
  NPD tax ID

Locations

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1386233252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "BELTON",
            "state": "SC",
            "postal_code": "296270413",
            "telephone_number": "864-381-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E SHOCKLEY FERRY RD STE A5",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296242937",
            "telephone_number": "864-381-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HIS IMAGE OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "864-381-5248"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Anderson, SC
• Providers in Anderson, 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 Jan 14, 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.