Active NPI
General Council on Finance & Admins
Doing business as Aldersgate Special Needs Ministry
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Irmo, SC
National Provider Identifier
1568114957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- GENERAL COUNCIL ON FINANCE & ADMINS
- Doing business as
- Aldersgate Special Needs Ministry
- Practice address
- 401 Western LN Ste 6
Irmo, SC 29063-7953 - Phone
- (843) 754-8936
- NPI assigned
- Jan 26, 2022
- Organization subpart
- Yes
- Parent organization
- GENERAL COUNCIL ON FINANCE & ADMINS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elaine Mathis
- Title
- Executive Director
- Phone
- (843) 754-8936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
401 Western LN Ste 6
Irmo, SC 29063-7953
Mailing address
PO Box 203
Ballentine, SC 29002-0203
Phone (843) 754-8936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RC1488 | Medicaid | SC |
Other names 1
- Aldersgate Special Needs Ministry
National Provider Directory
National Provider Directory- Part of
- General Council on Finance Admins
Locations
401 Western Ln
Ste 6
Irmo, SC 29063
Phone (843) 754-8936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643155200000",
"number": "1568114957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 203",
"city": "BALLENTINE",
"state": "SC",
"postal_code": "290020203",
"telephone_number": "843-754-8936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WESTERN LN STE 6",
"city": "IRMO",
"state": "SC",
"postal_code": "290637953",
"telephone_number": "843-754-8936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERAL COUNCIL ON FINANCE & ADMINS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GENERAL COUNCIL ON FINANCE & ADMINS",
"enumeration_date": "2022-01-26",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A",
"authorized_official_last_name": "MATHIS",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "843-754-8936"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RC1488",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aldersgate Special Needs Ministry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.