Organization Active NPI

Orangeburg Attention Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Orangeburg, SC
National Provider Identifier
1639399553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
ORANGEBURG ATTENTION HOMES, INC.
Practice address
155 Wall St RM 16
Orangeburg, SC 29115-5404
Phone
(803) 534-0462
Fax
(803) 531-8517
NPI assigned
Apr 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rachel R Wilson
Title
Executive Director
Phone
(803) 534-0462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

155 Wall St RM 16
Orangeburg, SC 29115-5404

Mailing address

PO Box 886
Orangeburg, SC 29116-0886
Phone (803) 534-0462

Other identifiers 1

IdentifierTypeStateIssuer
962MXHMedicaidSC

National Provider Directory

National Provider Directory

Locations

155 Wall St
Rm 16
Orangeburg, SC 29115
Phone (803) 534-0462

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639399553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291160886",
            "telephone_number": "803-534-0462",
            "fax_number": "803-531-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WALL ST RM 16",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291155404",
            "telephone_number": "803-534-0462",
            "fax_number": "803-531-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGEBURG ATTENTION HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-534-0462",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "962MXH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.