Organization Active NPI

Union Disabilities & Special Needs

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Union, SC
National Provider Identifier
1487781936
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
15140 Issued in SC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.