NPIMap

Organization Active NPI

Cherokee Creek Boys School

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Westminster, SC
National Provider Identifier
1477820504
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
15740 Issued in SC
Legal business name
CHEROKEE CREEK BOYS SCHOOL
Practice address
198 Cooper Rd
Westminster, SC 29693-3309
Phone
(864) 647-1885
Fax
(866) 382-1220
NPI assigned
Nov 17, 2011
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mr. David Lepere
Title
Executive Director
Phone
(864) 647-1885

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 5108 SC
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 15740 SC Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 5259 SC
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 2584 SC

Addresses

Primary practice location

198 Cooper Rd
Westminster, SC 29693-3309

Mailing address

198 Cooper Rd
Westminster, SC 29693-3309
Phone (864) 647-1885

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2238356Cherokee Creek Boys School198 Cooper Road, Westminster, SC 29693Certificate of waiverOct 3, 2027

National Provider Directory

National Provider Directory

Locations

198 Cooper Rd
Westminster, SC 29693
Phone (864) 647-1885

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1477820504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 COOPER RD",
            "city": "WESTMINSTER",
            "state": "SC",
            "postal_code": "296933309",
            "telephone_number": "864-647-1885",
            "fax_number": "866-382-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 COOPER RD",
            "city": "WESTMINSTER",
            "state": "SC",
            "postal_code": "296933309",
            "telephone_number": "864-647-1885",
            "fax_number": "866-382-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE CREEK BOYS SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "LEPERE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-647-1885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SC",
            "license": "5108",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SC",
            "license": "15740",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SC",
            "license": "5259",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SC",
            "license": "2584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.