Organization Active NPI

Murry'S Community Care Home

  • Mental Illness Community Based Residential Treatment Facility
  • Columbia, SC
National Provider Identifier
1699006353
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
RC0210 Issued in SC
Legal business name
MURRY'S COMMUNITY CARE HOME
Practice address
79 Sal Sue CT
Columbia, SC 29203-3821
Phone
(803) 786-8561
Fax
(803) 714-1987
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Ms. Valencia Whitaker Anderson
Title
Administrator
Phone
(803) 786-8561

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X RC0210 SC Primary
Mental Illness Community Based Residential Treatment Facility 320800000X RC0208 SC

Addresses

Primary practice location

79 Sal Sue CT
Columbia, SC 29203-3821

Mailing address

79 Sal Sue CT
Columbia, SC 29203-3821
Phone (803) 786-8561

Other names 1

  • whitaker's community care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Murry'S Community Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

79 Sal Sue Ct
Columbia, SC 29203
Phone (803) 786-8561

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1699006353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SAL SUE CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033821",
            "telephone_number": "803-786-8561",
            "fax_number": "803-714-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SAL SUE CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033821",
            "telephone_number": "803-786-8561",
            "fax_number": "803-714-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRY'S COMMUNITY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_middle_name": "WHITAKER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-786-8561",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "SC",
            "license": "RC0210",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "SC",
            "license": "RC0208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "whitaker's community care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.