NPIMap

Organization Active NPI

South Carolina Department of Health and Environmental Control

  • Custodial Care Facility
  • Florence, SC
National Provider Identifier
1477909018
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Practice address
1411 Dordie Cir
Florence, SC 29506-7368
Phone
(843) 536-6175
NPI assigned
May 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Stacey Ann Kennedy
Title
Human Service Specialist 1
Phone
(843) 536-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

1411 Dordie Cir
Florence, SC 29506-7368

Mailing address

1411 Dordie Cir
Florence, SC 29506-7368
Phone (843) 536-6175

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1477909018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 DORDIE CIR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295067368",
            "telephone_number": "843-536-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 DORDIE CIR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295067368",
            "telephone_number": "843-536-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "HUMAN SERVICE SPECIALIST 1",
        "authorized_official_telephone_number": "843-536-6175"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.