Organization Active NPI

Step by Steps Community Lynx, LLC

  • Point of Service
  • Sumter, SC
National Provider Identifier
1992178586
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
000000000 Issued in SC
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

Updated by the provider on Nov 4, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000000MedicaidSC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.