The Center of Change

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

THE CENTER OF CHANGE

Practice address

1228 Main St
West Columbia, SC 29170-4026

Phone

(803) 755-7787

Fax

(803) 755-2666

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Deburn Sanders

Title

Program Director

Phone

(803) 755-7787

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992846869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12043",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292112043",
            "telephone_number": "803-755-7787",
            "fax_number": "803-755-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 MAIN ST",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291704026",
            "telephone_number": "803-755-7787",
            "fax_number": "803-755-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER OF CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DEBURN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "803-755-7787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "930MXH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura H Tenbrunsel, MCD
• Tender Heart Total Care LLC
• Savannah Terrapin, NP
• Tessera Physical Therapy
• Ashley Cooper Tharin, MSN, APRN, A-GNP-C
• The Kids Group
• The Medical Place Family Practice, P.a.
• The Sigurd Center for Ortho & Neuro Rehab
• Therapeutic Interventions of South Carolina, Inc.
• Kimberley Theuerl, APRN

• Emotionally Disturbed Childrens' Residential Treatment Facility in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility 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.