Active NPI
Murry'S Community Care Home
- Mental Illness Community Based Residential Treatment Facility
- Columbia, SC
National Provider Identifier
1699006353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- RC0210
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Murry'S Community Care Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Columbia, SC
- NPI 1215177076
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.