Canaan Land Community Development Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CANAAN LAND COMMUNITY DEVELOPMENT CENTER

Practice address

1900 McNett Rd
Marion, SC 29571-6601

Phone

(843) 430-0495

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Dessie B McKelvy, RNBS

Title

Executive Director

Phone

(843) 430-0495

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1992013726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MCNETT RD",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716601",
            "telephone_number": "843-430-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MCNETT RD",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716601",
            "telephone_number": "843-430-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAAN LAND COMMUNITY DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "MCKELVY",
        "authorized_official_first_name": "DESSIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-430-0495",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNBS"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brown, LPC
• Burgess Primary Family Practice LLC
• Vanessa Burgess
• Valerie Burke, M.D.,F.A.C.O.G.
• Bruce Ellis Burner Sr., M.D.
• Carolina Pharmacy Inc.
• Carolynmichael Lifestyle and Business Services, LLC
• Beverly Causey, R.N.
• Marty U Chaplin, MA CCC-SLP
• Trinette Charles

• Adult Day Care Clinic/Center in Marion, SC
• Providers in Marion, SC by specialty
• Adult Day Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.