Carolina Boys Home Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

SR0001731001GH Issued in SC

Legal business name

CAROLINA BOYS HOME INC

Practice address

1303 Sycamore Ave
Columbia, SC 29203-4252

Phone

(803) 786-7100

Fax

(803) 333-0033

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jannie M Nelson

Title

Executive Director

Phone

(803) 786-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851349567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3355",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292303355",
            "telephone_number": "803-786-7100",
            "fax_number": "803-333-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SYCAMORE AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292034252",
            "telephone_number": "803-786-7100",
            "fax_number": "803-333-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BOYS HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JANNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-786-7100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SC",
            "license": "SR0001731001GH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911MXH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Access Solutions, LLC
• Carolina Allergy & Asthma Consultants
• Carolina Anesthesiology Associates PA
• Carolina Anesthesiology Associates PA
• Carolina Assessment Services, LLC
• Carolina Cadence Speech Therapy LLC
• Carolina Cardiac Care
• Carolina Cataract Clinic
• Carolina Center for Fertility & Endocrinology, PA
• Carolina Chat & Chew LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Columbia, SC
• Providers in Columbia, SC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in South Carolina

• 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.