United Cerebral Palsy of South Carolina, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

UNITED CEREBRAL PALSY OF SOUTH CAROLINA, INC

Practice address

1101 Harbor Dr
West Columbia, SC 29169-3658

Phone

(803) 926-8878

NPI assigned

Dec 21, 2021

Organization subpart

No

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

Authorized official

Name

Laura Heise, CPA

Title

Cfo

Phone

(404) 536-7971

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1902566755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NORTHEAST EXPY NE BLDG 9",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303413932",
            "telephone_number": "770-676-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HARBOR DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693658",
            "telephone_number": "803-926-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF SOUTH CAROLINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "HEISE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-536-7971",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Tyer, DPT
• Lauren Tyler, ATC
• Charles Scott Ulch, RPH.
• Farsheed Noorzoda Umari, PHARMD
• Susan Mollie Umberger
• Urology Surgery Center,LLC
• Shannon Uyeda, ANP, BC
• Sheena Michelle Vaccaro, NP-C
• Alison H. Valdepenas, D.P.T.
• Sean James Valdepenas, PT

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Intellectual and/or Developmental Disabilities 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 Dec 21, 2021; 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.