NPIMap

Organization Active NPI

Family Preservation Community Services

  • Community/Behavioral Health Agency
  • Columbia, SC
National Provider Identifier
1790736361
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY PRESERVATION COMMUNITY SERVICES
Practice address
3710 Landmark Dr
Suite 307
Columbia, SC 29204-4062
Phone
(803) 782-3422
Fax
(803) 782-3426
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Miss Cathy Freeman
Title
Executive Director
Phone
(803) 782-3422

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Foster Care Agency 253J00000X

Addresses

Primary practice location

3710 Landmark Dr
Suite 307
Columbia, SC 29204-4062

Mailing address

3710 Landmark Dr
Suite 307
Columbia, SC 29204-4062
Phone (803) 782-3422

Other identifiers 2

IdentifierTypeStateIssuer
916MXHMedicaidSC
CBT009MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Family Preservation Comm SVCS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3710 Landmark Dr
Ste 307
Columbia, SC 29204
Phone (803) 782-3422

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1790736361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 LANDMARK DR",
            "address_2": "SUITE 307",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044062",
            "telephone_number": "803-782-3422",
            "fax_number": "803-782-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 LANDMARK DR",
            "address_2": "SUITE 307",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044062",
            "telephone_number": "803-782-3422",
            "fax_number": "803-782-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRESERVATION COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-782-3422",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "916MXH",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBT009",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.