NPIMap

Organization Active NPI

Charleston Orphan House

Doing business as Carolina Youth Development Center

  • Community/Behavioral Health Agency
  • North Charleston, SC
National Provider Identifier
1437422839
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
251340133 Issued in SC
Legal business name
CHARLESTON ORPHAN HOUSE
Doing business as
Carolina Youth Development Center
Practice address
5055 Lackawanna Blvd
North Charleston, SC 29405-4529
Phone
(843) 266-5200
Fax
(843) 266-5201
NPI assigned
Feb 15, 2012
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Barbara Kelley Duncan
Title
Chief Executive Officer
Phone
(843) 266-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 251340133 SC Primary

Addresses

Primary practice location

5055 Lackawanna Blvd
North Charleston, SC 29405-4529

Mailing address

5055 Lackawanna Blvd
North Charleston, SC 29405-4529
Phone (843) 266-5200

Other names 1

  • Carolina Youth Development Center Doing business as

National Provider Directory

National Provider Directory
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.

Locations

5055 Lackawanna Blvd
North Charleston, SC 29405
Phone (843) 266-5200

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1437422839",
    "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "KELLEY DUNCAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "843-266-5200"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "251340133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Youth Development Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.