Organization Active NPI

Dorchester Seniors, Inc.

  • Home Delivered Meals
  • Summerville, SC
National Provider Identifier
1720059561
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
DORCHESTER SENIORS, INC.
Practice address
312 N Laurel St
Summerville, SC 29483-6543
Phone
(843) 871-5053
Fax
(843) 821-2693
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jean K. Ott, MSW, LISWCP
Title
Executive Director
Phone
(843) 871-5053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

312 N Laurel St
Summerville, SC 29483-6543

Mailing address

312 N Laurel St
Summerville, SC 29483-6543
Phone (843) 871-5053

Other identifiers 1

IdentifierTypeStateIssuer
EX0478MedicaidSC

Other names 1

  • Dorchester Human Development Board, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

312 N Laurel St
Summerville, SC 29483
Phone (843) 871-5053

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720059561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N LAUREL ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836543",
            "telephone_number": "843-871-5053",
            "fax_number": "843-821-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N LAUREL ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836543",
            "telephone_number": "843-871-5053",
            "fax_number": "843-821-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORCHESTER SENIORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-871-5053",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LISWCP"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0478",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dorchester Human Development Board, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • 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.