Active NPI
Dorchester Seniors, Inc.
- Home Delivered Meals
- Summerville, SC
National Provider Identifier
1720059561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX0478 | Medicaid | SC |
Other names 1
- Dorchester Human Development Board, Inc.
National Provider Directory
National Provider DirectoryLocations
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.