Organization Active NPI

Epiphany Family Services LLC Maryland

  • Community/Behavioral Health Agency
  • Rock Hill, SC
National Provider Identifier
1417409319
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EPIPHANY FAMILY SERVICES LLC MARYLAND
Practice address
568 Anderson Rd N
Rock Hill, SC 29730-7300
Phone
(704) 236-4067
NPI assigned
Oct 27, 2016
Last updated
Oct 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Vera H Millner, CSAC
Title
Ceo
Phone
(704) 236-4067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

568 Anderson Rd N
Rock Hill, SC 29730-7300

Mailing address

568 Anderson Rd N
Rock Hill, SC 29730-7300
Phone (704) 236-4067

National Provider Directory

National Provider Directory

Locations

568 Anderson Rd N
Rock Hill, SC 29730
Phone (704) 236-4067

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1417409319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 ANDERSON RD N",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307300",
            "telephone_number": "704-236-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 ANDERSON RD N",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307300",
            "telephone_number": "704-236-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY FAMILY SERVICES LLC MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "MILLNER",
        "authorized_official_first_name": "VERA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-236-4067",
        "authorized_official_credential": "CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.