NPIMap

Organization Active NPI

Greenville County Disabilities and Special Needs Board

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Greenville, SC
National Provider Identifier
1699088070
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
42G128 Issued in SC
Legal business name
GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Practice address
1700 Ridge Road
Greenville, SC 29607-4730
Phone
(864) 288-1907
Fax
(864) 297-4990
NPI assigned
Jul 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Mr. John Cocciolone
Title
Executive Director
Phone
(864) 288-1907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 42G128 SC Primary

Addresses

Primary practice location

1700 Ridge Road
Greenville, SC 29607-4730

Mailing address

P.O. Box 17467
Greenville, SC 29606-8467
Phone (864) 288-1907

National Provider Directory

National Provider Directory

Locations

1700 Ridge Rd
Greenville, SC 29607
Phone (864) 288-1907

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1699088070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 17467",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296068467",
            "telephone_number": "864-288-1907",
            "fax_number": "864-297-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RIDGE ROAD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074730",
            "telephone_number": "864-288-1907",
            "fax_number": "864-297-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "COCCIOLONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-288-1907",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "SC",
            "license": "42G128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.