Kershaw County Adult Day Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

KERSHAW COUNTY ADULT DAY CARE CENTER

Practice address

2204 N Broad Street
Camden, SC 29020

Phone

(803) 425-9040

Fax

(803) 425-9041

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Joyce P Carlton

Title

Administrator

Phone

(803) 425-9040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386696839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "address_2": "2204 N BROAD STREET",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-425-9040",
            "fax_number": "803-425-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 N BROAD STREET",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-425-9040",
            "fax_number": "803-425-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERSHAW COUNTY ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-425-9040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0364",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney R Keen
• Susan Jane Kelly-Lowery
• Amanda Kendall, MCD,CCC-SLP
• Kershaw Anesthesia, LLC
• Kershaw Cnty Psych LLC
• Kershaw County Board of Disabilities and Special Needs
• Kershaw County Commission on Alcohol and Drug Abuse
• Kershaw County Commission on Alcohol and Drug Abuse (ALPHA Behavioral Health Center)
• Kershaw County School District
• Kershaw County School District

• Adult Day Care Clinic/Center in Camden, SC
• Providers in Camden, SC by specialty
• Adult Day Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.