Billie Hardee Home for Boys
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Darlington, SC
NPI 1619087889 · NPPES record last updated Mar 29, 2011
Key facts
- NPI
- 1619087889
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- SR-0001422001-GH (SC)
- Legal business name
- BILLIE HARDEE HOME FOR BOYS
- Practice address
- 1133 Timmonsville Hwy
Darlington, SC 29532-5077 - Phone
- (843) 393-8600
- Fax
- (843) 393-6471
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Wayne Gates Chapman
- Title
- Ceo
- Phone
- (843) 393-8600
Corporate family (same tax ID) 2
Practitioners 1
-
Nicole Hardee Chapman, LISW-CP
National Provider Directory
- Tax ID family
- Billie Hardee Home for Boys
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | SR-0001422001-GH | SC | Yes |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | SR-0008053001-CCI | SC |
Addresses
Primary practice location
1133 Timmonsville Hwy
Darlington, SC 29532-5077
Mailing address
PO Box 617
Darlington, SC 29540-0617
Phone (843) 393-8600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 974MXH | Medicaid | SC | |
| 946MXH | Medicaid | SC |
Other providers in Darlington, SC
- Bela Family Dentistry of Darlington
- Mary Kay Belissary
- Marie Berry
- Bethea Senior Care LLC
- Billie Hardee Home for Boys
- Billie Hardee Home for Boys
- Bio-Medical Applications of South Carolina, Inc.
- Jean L Blackman
- Sara Harling Boulware
- Shannon McDowell Bowen
All providers in Darlington, SC · Emotionally Disturbed Childrens' Residential Treatment Facility in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.