Active NPI
Generations Group Homes of Greenville, Inc
- Adolescent and Children Mental Health Clinic/Center
- Fountain Inn, SC
National Provider Identifier
1457770661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- GENERATIONS GROUP HOMES OF GREENVILLE, INC
- Practice address
- 820 Dunklin Bridge Rd
Fountain Inn, SC 29644-9725 - Phone
- (864) 243-5557
- Fax
- (864) 243-3339
- NPI assigned
- Apr 15, 2014
- Last updated
- Apr 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kimberly Marie Adkins, LPCS
- Title
- Compliance Director
- Phone
- (864) 243-5557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | Primary |
Addresses
Primary practice location
820 Dunklin Bridge Rd
Fountain Inn, SC 29644-9725
Mailing address
PO Box 80009
Simpsonville, SC 29680-0001
Phone (864) 243-5557
National Provider Directory
National Provider Directory- Tax ID family
- Generations Group Homes of Greenville Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Professional Counselor
- Fountain Inn, SC
- NPI 1336202761
-
- Community/Behavioral Health Agency
- Fountain Inn, SC
- NPI 1083921308
Locations
820 Dunklin Bridge Rd
Fountain Inn, SC 29644
Phone (864) 243-5557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397520000000",
"number": "1457770661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80009",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296800001",
"telephone_number": "864-243-5557",
"fax_number": "864-243-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 DUNKLIN BRIDGE RD",
"city": "FOUNTAIN INN",
"state": "SC",
"postal_code": "296449725",
"telephone_number": "864-243-5557",
"fax_number": "864-243-3339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERATIONS GROUP HOMES OF GREENVILLE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A",
"authorized_official_last_name": "ADKINS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
"authorized_official_telephone_number": "864-243-5557",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPCS"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Inn, SC
- Vernessa A Fulmore, PTA
- Sydney Funderburk, LPC-A
- Nancy Wolla Gardner, OTR/L
- Generations Alternative Program, Inc
- Generations Group Homes of Greenville, Inc
- Generations Group Homes of Greenville. Inc.
- Generations Residential Programs, Inc.
- Charles George Goldizen II, D.C.
- Audrey Goodjoin, NP
- Diana Mary Granger, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.