The Orangeburg Adult Daycare,Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

03271 Issued in SC

Legal business name

THE ORANGEBURG ADULT DAYCARE,INC

Practice address

1110 Whitman St
Orangeburg, SC 29115-6151

Phone

(803) 531-6388

Fax

(803) 531-6388

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Vernette D Dyches

Title

Owner/Director

Phone

(803) 531-6388

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710064381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 WHITMAN ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156151",
            "telephone_number": "803-531-6388",
            "fax_number": "803-531-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 WHITMAN ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291156151",
            "telephone_number": "803-531-6388",
            "fax_number": "803-531-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORANGEBURG ADULT DAYCARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYCHES",
        "authorized_official_first_name": "VERNETTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "803-531-6388",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "SC",
            "license": "03271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0242",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Orangeburg, SC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.