NPIMap

Organization Active NPI

Ahead Start LLC

  • Early Intervention Provider Agency
  • Greenville, SC
National Provider Identifier
1508420829
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
AHEAD START LLC
Practice address
117 Manly St
Greenville, SC 29601-3024
Phone
(864) 569-9995
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Deidre MartinNPI 1730641218
Title
Owner
Phone
(864) 569-9995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

117 Manly St
Greenville, SC 29601-3024

Mailing address

117 Manly St
Greenville, SC 29601-3024

National Provider Directory

National Provider Directory

Locations

117 Manly St
Greenville, SC 29601
Phone (864) 569-9995

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1508420829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MANLY ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MANLY ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013024",
            "telephone_number": "864-569-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHEAD START LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DEIDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-569-9995"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.