NPIMap

Organization Active NPI

Carolina Children's Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Columbia, SC
National Provider Identifier
1912173733
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
SR-00019238011CCI Issued in SC
Legal business name
CAROLINA CHILDREN'S HOME
Practice address
1154 Sunnyside Dr
Columbia, SC 29204
Phone
(803) 787-2306
Fax
(803) 790-6554
NPI assigned
May 1, 2008
Last updated
Mar 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Mr. John R Kessler, Jr
Title
Executive Director
Phone
(803) 790-6541

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X SR-00019238011CCI SC Primary

Addresses

Primary practice location

1154 Sunnyside Dr
Columbia, SC 29204

Mailing address

PO Box 4465
Columbia, SC 29204
Phone (803) 790-6541

National Provider Directory

National Provider Directory
Tax ID family
Carolina Children's Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1912173733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4465",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-790-6541",
            "fax_number": "803-790-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 SUNNYSIDE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-787-2306",
            "fax_number": "803-790-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "KESSLER, JR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-790-6541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SC",
            "license": "SR-00019238011CCI",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 23, 2015; 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.