Organization Active NPI

Rockhaven CCH

  • Mental Illness Community Based Residential Treatment Facility
  • Columbia, SC
National Provider Identifier
1578719043
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
RC0800 Issued in SC
Legal business name
ROCKHAVEN CCH
Practice address
524 Rockhaven Dr
Columbia, SC 29223-7805
Phone
(803) 699-5361
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Mr. Richie Davell Barnes
Title
Administrator
Phone
(803) 699-5361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X RC0800 SC Primary

Addresses

Primary practice location

524 Rockhaven Dr
Columbia, SC 29223-7805

Mailing address

524 Rockhaven Dr
Columbia, SC 29223-7805
Phone (803) 699-5361

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2131910Rockhaven CCH Inc524 Rockhaven Dr, Columbia, SC 29223Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1578719043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 ROCKHAVEN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237805",
            "telephone_number": "803-699-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 ROCKHAVEN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237805",
            "telephone_number": "803-699-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKHAVEN CCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "RICHIE",
        "authorized_official_middle_name": "DAVELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-699-5361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "SC",
            "license": "RC0800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.