Community Organized for Advancement, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

COMMUNITY ORGANIZED FOR ADVANCEMENT, INC.

Practice address

106 E Thomas St
Lake City, SC 29560-2639

Phone

(843) 229-8504

Fax

(866) 285-0122

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kelvin Williams

Title

Executive Director

Phone

(843) 229-8504

Specialties & licenses 4

Addresses

Other names 1

• Youth & Family Service Center Other name

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1649461963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E THOMAS STREET",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "29560",
            "telephone_number": "843-229-8504",
            "fax_number": "866-285-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E THOMAS ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602639",
            "telephone_number": "843-229-8504",
            "fax_number": "866-285-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ORGANIZED FOR ADVANCEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-229-8504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youth & Family Service Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Coker
• Frances Merritt Coker, RN
• Sheila L Coker, COTA/L
• Diana Lee Collins
• Kaaron Collins, R. N.
• Convenient Health and Wellness Virtual Care
• Erica Conyers, MA, ADC-IP
• Willie Frank Cook Jr., EMT
• Myra Cooke
• Creations-Unlimited

• Voluntary or Charitable Agency in Lake City, SC
• Providers in Lake City, SC by specialty
• Voluntary or Charitable Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.