First Fruit Residential Group Home III, LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

FIRST FRUIT RESIDENTIAL GROUP HOME III, LLC

Practice address

1151 Liberty Rd
Chester, SC 29706-6939

Phone

(704) 674-4898

NPI assigned

Jul 31, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Attiyya Sheereen Cleaves

Title

Director

Phone

(704) 674-4898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1740103373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 LIBERTY RD",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297066939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 LIBERTY RD",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297066939",
            "telephone_number": "704-674-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST FRUIT RESIDENTIAL GROUP HOME III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "CLEAVES",
        "authorized_official_first_name": "ATTIYYA",
        "authorized_official_middle_name": "SHEEREEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-674-4898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jejuan Gamble, PHARM.D.

• Case Manager/Care Coordinator in Chester, SC
• Providers in Chester, SC by specialty
• Case Manager/Care Coordinator in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.