Active NPI
Union Disabilities & Special Needs
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Union, SC
National Provider Identifier
1487781936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 15140
- Legal business name
- UNION DISABILITIES & SPECIAL NEEDS
- Practice address
- 226 S Gadberry St
Union, SC 29379 - Phone
- (864) 427-7700
- Fax
- (864) 427-1777
- NPI assigned
- Feb 28, 2007
- 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
- Mrs. Mary Louise Stackhouse
- Title
- Executive Director
- Phone
- (864) 427-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 15140 | SC | Primary |
Addresses
Primary practice location
226 S Gadberry St
Union, SC 29379
Mailing address
PO Box 903
226 S Gadberry St
Union, SC 29379
Phone (864) 427-7700
National Provider Directory
National Provider DirectoryLocations
226 S Gadberry St
Union, SC 29379
Phone (864) 427-7700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487781936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 903",
"address_2": "226 S GADBERRY ST",
"city": "UNION",
"state": "SC",
"postal_code": "29379",
"telephone_number": "864-427-7700",
"fax_number": "864-427-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 S GADBERRY ST",
"city": "UNION",
"state": "SC",
"postal_code": "29379",
"telephone_number": "864-427-7700",
"fax_number": "864-427-1777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNION DISABILITIES & SPECIAL NEEDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STACKHOUSE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "864-427-7700",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "SC",
"license": "15140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.