Presbyterian Agency for the Developmentally Disabled Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PRESBYTERIAN AGENCY FOR THE DEVELOPMENTALLY DISABLED INC

Practice address

2350 Regional Rd
Florence, SC 29501-7028

Phone

(843) 673-1005

NPI assigned

Feb 11, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly Tumbleson

Title

Administrator

Phone

(843) 673-1005

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1447904040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5534",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295025534",
            "telephone_number": "843-673-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 REGIONAL RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017028",
            "telephone_number": "843-673-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN AGENCY FOR THE DEVELOPMENTALLY DISABLED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "TUMBLESON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-673-1005"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larena E Powers, COTA
• Martin Francis Powers Jr., CRNA
• Practical Purpose Solutions LLC
• Praxair Healthcare Services, Inc
• Nicole McKenzie Preder, RDN
• Presbyterian Communities of South Carolina (Presbyterian Home of SC - Florence)
• Andrew Lee Press, M.D.
• Aphrodite Pressley, RN
• Garnetta Pressley
• Tanya Dionne Pressley

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florence, SC
• Providers in Florence, SC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.