Active NPI
Historic Paradise Foundation NFP
- Community/Behavioral Health Agency
- Fort Mill, SC
National Provider Identifier
1952018327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HISTORIC PARADISE FOUNDATION NFP
- Practice address
- 1162 Fort Mill Hwy Ste a
Fort Mill, SC 29707-7698 - Phone
- (803) 547-8555
- Fax
- (312) 256-9714
- NPI assigned
- Nov 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Redmond
- Title
- Executive Director
- Phone
- (312) 887-0742
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Meals Provider | 174200000X | |||
| Local Education Agency (LEA) | 251300000X | |||
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Voluntary or Charitable Agency | 251V00000X | |||
| Clinic/Center | 261Q00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Home Delivered Meals | 332U00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Respite Care Camp | 385HR2050X |
Addresses
Primary practice location
1162 Fort Mill Hwy Ste a
Fort Mill, SC 29707-7698
Mailing address
3160 Highway 21 Suite 103
Box 6
Fort Mill, SC 29715
Phone (803) 547-8555
Other names 1
- HPF
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1952018327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 HIGHWAY 21 SUITE 103",
"address_2": "BOX 6",
"city": "FORT MILL",
"state": "SC",
"postal_code": "29715",
"telephone_number": "803-547-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1162 FORT MILL HWY STE A",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297077698",
"telephone_number": "803-547-8555",
"fax_number": "312-256-9714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HISTORIC PARADISE FOUNDATION NFP",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "REDMOND",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "312-887-0742"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2050X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care Camp",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HPF",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.