Active NPI
Step by Steps Community Lynx, LLC
- Point of Service
- Sumter, SC
National Provider Identifier
1992178586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 000000000
- Legal business name
- STEP BY STEPS COMMUNITY LYNX, LLC
- Practice address
- 730C Broad St
Sumter, SC 29150-3356 - Phone
- (704) 701-0836
- NPI assigned
- Nov 4, 2015
- 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
- Williba Brogdon
- Title
- Cfo
- Phone
- (704) 701-0836
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 000000000 | SC | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | 000000001 | SC |
Addresses
Primary practice location
730C Broad St
Sumter, SC 29150-3356
Mailing address
730C Broad St
Sumter, SC 29150-3356
Phone (704) 701-0836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446595200000",
"number": "1992178586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730C BROAD ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291503356",
"telephone_number": "704-701-0836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730C BROAD ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291503356",
"telephone_number": "704-701-0836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEP BY STEPS COMMUNITY LYNX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A",
"authorized_official_last_name": "BROGDON",
"authorized_official_first_name": "WILLIBA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "704-701-0836"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "SC",
"license": "000000000",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "SC",
"license": "000000001",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000000",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.