Active NPI
Upstate Circle of Friends
- Voluntary or Charitable Agency
- Greenville, SC
National Provider Identifier
1619162732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- License
- 13413
- Legal business name
- UPSTATE CIRCLE OF FRIENDS
- Practice address
- 301 E Dorchester Blvd
Greenville, SC 29605-2436 - Phone
- (864) 277-5788
- Fax
- (864) 277-5665
- NPI assigned
- Sep 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Evelyn Deloris Barksdale
- Title
- President/Ceo
- Phone
- (864) 277-5788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | 13413 | SC | Primary |
Addresses
Primary practice location
301 E Dorchester Blvd
Greenville, SC 29605-2436
Mailing address
PO Box 25236
Greenville, SC 29616-0236
Phone (864) 277-5788
National Provider Directory
National Provider DirectoryLocations
301 E Dorchester Blvd
Greenville, SC 29605
Phone (864) 277-5788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189468800000",
"number": "1619162732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25236",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296160236",
"telephone_number": "864-277-5788",
"fax_number": "864-277-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E DORCHESTER BLVD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296052436",
"telephone_number": "864-277-5788",
"fax_number": "864-277-5665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPSTATE CIRCLE OF FRIENDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A",
"authorized_official_last_name": "BARKSDALE",
"authorized_official_first_name": "EVELYN",
"authorized_official_middle_name": "DELORIS",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "864-277-5788",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "SC",
"license": "13413",
"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 Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.