NPIMap

Organization Active NPI

Fairfield County Disabilities and Special Needs Board

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Winnsboro, SC
National Provider Identifier
1467019778
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
FAIRFIELD COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Practice address
408 W Washington Street
Winnsboro, SC 29180
Phone
(803) 635-2154
Fax
(803) 635-1064
NPI assigned
May 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Miss Brantlee Shae Noland
Title
Director of Regulatory Compliance
Phone
(803) 635-2154

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Early Intervention Provider Agency 252Y00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

408 W Washington Street
Winnsboro, SC 29180

Mailing address

PO Box 367
408 W Washington Street
Winnsboro, SC 29180
Phone (803) 635-2154

National Provider Directory

National Provider Directory

Locations

408 W Washington St
Winnsboro, SC 29180
Phone (803) 635-2154

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1467019778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "address_2": "408 W WASHINGTON STREET",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "29180",
            "telephone_number": "803-635-2154",
            "fax_number": "803-635-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W WASHINGTON STREET",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "29180",
            "telephone_number": "803-635-2154",
            "fax_number": "803-635-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD COUNTY DISABILITIES AND SPECIAL NEEDS BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "NOLAND",
        "authorized_official_first_name": "BRANTLEE",
        "authorized_official_middle_name": "SHAE",
        "authorized_official_title_or_position": "DIRECTOR OF REGULATORY COMPLIANCE",
        "authorized_official_telephone_number": "803-635-2154",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.