Amicare of South Carolina

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

SR-1017120001-CCI Issued in SC

Legal business name

AMICARE OF SOUTH CAROLINA

Practice address

391 White Rock Rd
Tamassee, SC 29686-2015

Phone

(864) 944-9875

Fax

(864) 944-6790

NPI assigned

Sep 14, 2010

Organization subpart

No

Name

Ms. Sharon Durham, M.DIV.

Title

Executive Director

Phone

(864) 944-8118

• Camp Ghigau Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2010.

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1699083576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 WHITE ROCK RD",
            "city": "TAMASSEE",
            "state": "SC",
            "postal_code": "296862015",
            "telephone_number": "864-944-9875",
            "fax_number": "864-944-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 WHITE ROCK RD",
            "city": "TAMASSEE",
            "state": "SC",
            "postal_code": "296862015",
            "telephone_number": "864-944-9875",
            "fax_number": "864-944-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICARE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-944-8118",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.DIV."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SC",
            "license": "SR-1017120001-CCI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camp Ghigau",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lighthouse Care Center of Oconee
• Anna Miller Robinson, MSP, CCC-SLP
• Tonya Rogers, LPN
• Robert Norman Shuler, NRP
• Sharon Walters, MA CCC-SLP, PHD

• All providers in Tamassee, SC
• Emotionally Disturbed Childrens' Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.