Martin'S Place

Primary specialty

Child Physical Disabilities Respite CareTaxonomy code 385HR2065X

Legal business name

MARTIN'S PLACE

Practice address

220 Packard LN
Manning, SC 29102-3438

Phone

(803) 825-0024

NPI assigned

May 28, 2024

Organization subpart

No

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

Authorized official

Name

Latoya Alisha Collymore

Title

Caregiver

Phone

(803) 825-0024

Specialties & licenses 1

Addresses

Other names 1

• Martin's Place Assisted Former legal business name

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1689414765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PACKARD LN",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023438",
            "telephone_number": "803-825-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PACKARD LN",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023438",
            "telephone_number": "803-825-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "COLLYMORE",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "ALISHA",
        "authorized_official_title_or_position": "CAREGIVER",
        "authorized_official_telephone_number": "803-825-0024"
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Place Assisted",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Manning, SC
• Child Physical Disabilities Respite Care in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.