Active NPI
Orangeburg Attention Homes, Inc.
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Orangeburg, SC
National Provider Identifier
1639399553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- 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, 2020
- 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. Rachel R Wilson
- Title
- Executive Director
- Phone
- (803) 534-0462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 962MXH | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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
- Orange Cut Rate Drug Store, Inc. (Orange Nursing Home Services)
- Orange Cut Rate Drug Store, Inc. (Grove Park Pharmacy)
- Orange Cut Rate Drug Store, Inc. (Grove Park Pharmacy)
- Orangeburg Anesthesia Associates, P.a.
- Orangeburg Area Mental Health Center
- Orangeburg Cardiac Imaging Center
- Orangeburg Co. DSN Board
- Orangeburg Community Healthcare LLC (The Oaks Post Acute)
- Orangeburg Consoladated School District 5
- Orangeburg Consolidated School District 5
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.