Growing Home SE

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SR-0008300001-CPA Issued in SC

Legal business name

GROWING HOME SE

Practice address

440 Knox Abbott Dr
Suite 370
Cayce, SC 29033-4353

Phone

(803) 791-5513

Fax

(803) 739-0301

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Rose M Lopez, CPA

Title

VP of Finance

Phone

(803) 791-5513

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952479552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 KNOX ABBOTT DR",
            "address_2": "SUITE 370",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290334353",
            "telephone_number": "803-791-5513",
            "fax_number": "803-739-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 KNOX ABBOTT DR",
            "address_2": "SUITE 370",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290334353",
            "telephone_number": "803-791-5513",
            "fax_number": "803-739-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING HOME SE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "803-791-5513",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "SR-0008300001-CPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBT004",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886MXH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chasity Darcell Gilliam
• Jean Ann Whyte Goette, PHARMD
• Ellis Austin Goodwin
• Wendy K Graham, LPC
• Alexandria Danielle Greene
• Robert Guerriero
• Regina E. Hammock, D.O.
• Mitchell Hanks, DPT
• George Hanna, PHARMD
• James Michael Hanna

• Community/Behavioral Health Agency in Cayce, SC
• Providers in Cayce, SC by specialty
• Community/Behavioral Health Agency 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.