Active NPI
Golden Shields of South Carolina Inc
- Psychiatric Residential Treatment Facility
- Blythewood, SC
National Provider Identifier
1952890212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- GOLDEN SHIELDS OF SOUTH CAROLINA INC
- Practice address
- 85 Wading Bird Loop
Blythewood, SC 29016-5906 - Phone
- (770) 380-8994
- Fax
- (800) 781-1997
- NPI assigned
- May 2, 2018
- Organization subpart
- Yes
- Parent organization
- ALTERNATE PATHS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Johnnie C Hardy, MPA
- Title
- Chief Executive Officer
- Phone
- (770) 380-8994
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | Primary | ||
| Non-Pharmacy Dispensing Site | 332900000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Bus | 347B00000X | |||
| Private Vehicle | 347C00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
85 Wading Bird Loop
Blythewood, SC 29016-5906
Mailing address
990 Mount Zion Rd
Oxford, GA 30054-4023
Phone (770) 380-8994
National Provider Directory
National Provider Directory- Part of
- Alternate Paths
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Oxford, GA
- NPI 1639790892
-
- Pediatric Pharmacist
- Columbia, SC
- NPI 1467016634
-
- Behavior Analyst
- Oxford, GA
- NPI 1932719689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661990400000",
"number": "1952890212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 MOUNT ZION RD",
"city": "OXFORD",
"state": "GA",
"postal_code": "300544023",
"telephone_number": "770-380-8994",
"fax_number": "800-781-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 WADING BIRD LOOP",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290165906",
"telephone_number": "770-380-8994",
"fax_number": "800-781-1997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN SHIELDS OF SOUTH CAROLINA INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALTERNATE PATHS",
"enumeration_date": "2018-05-02",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A",
"authorized_official_last_name": "HARDY",
"authorized_official_first_name": "JOHNNIE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "770-380-8994",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MPA"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"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": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347B00000X",
"taxonomy_group": "",
"desc": "Bus",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.