Koko's House of Gems

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

KOKO'S HOUSE OF GEMS

Practice address

527 Orangeburg Rd Apt B8
Summerville, SC 29483-8981

Phone

(843) 530-1643

NPI assigned

Mar 18, 2024

Last updated

Mar 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shmeaka Rochelle Campbell

Title

Owner

Phone

(843) 530-1643

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1770342040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 ORANGEBURG RD APT B8",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838981",
            "telephone_number": "843-530-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 ORANGEBURG RD APT B8",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838981",
            "telephone_number": "843-530-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKO'S HOUSE OF GEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHMEAKA",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-530-1643"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Knobe
• Susan George Knoche, M.D.
• Kari Michelle Kocian
• Donald Joe Koets, OD
• Kyle Pentti Kokko, M.D., PH.D.
• Mary Lou Korpon, CPNP
• Allison Elizabeth Kosinski
• Ryanah Kourani
• KPD LLC (Knightsville Pediatric Dentistry)
• Kelley Kraft

• Mental Illness Community Based Residential Treatment Facility in Summerville, SC
• Providers in Summerville, SC by specialty
• Mental Illness Community Based Residential Treatment Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.