BROADSTEP ACADEMY-SC, INC. (NPI# 1083149330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083149330 |
| Entity Type | Organization |
| Organization Name | BROADSTEP ACADEMY-SC, INC. |
| Practice Address |
1399 Harmony Camp Rd Greeleyville SC 29056-9666 |
| Mailing Address |
1991 Glenns Bay Rd Myrtle Beach SC 29575-8614 |
| Practice Telephone | 8434734656 |
| Practice Fax Number | 8434734676 |
| Mailing Telephone | 8432150242 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | TERESA LANCASTER VASSAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8432014888 |
| Authorized Official Credential | M.ED., CPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
SC18446 | SC | Ambulatory Health Care Facilities |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124260427 | Broadstep Academy-sc, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1370 N Williamsburg County Hwy, Kingstree, SC 29556-7027 | 2009-04-01 |
| Street Address |
1399 HARMONY CAMP RD |
| City | GREELEYVILLE |
| State | SC |
| Zip Code | 29056-9666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184820318 | Leila Briggs Williams | Counselor | 1399 Harmony Camp Rd, Greeleyville, SC 29056-9666 | 2007-06-25 |
| 1053846311 | Broadstep Academy - Sc, Inc. | Behavioral Analyst | 1399 Harmony Camp Rd, Greeleyville, SC 29056-9666 | 2017-04-25 |
| 1568668374 | Melissa Solone | Counselor | 1399 Harmony Camp Rd, Greeleyville, SC 29056-9666 | 2007-06-27 |
| 1184820045 | Carlos Nickdilous Mcmillan | Counselor | 1399 Harmony Camp Rd, Greeleyville, SC 29056-9666 | 2007-06-26 |
| 1376749390 | Mary Allison Grant | Counselor | 1399 Harmony Camp Rd, Greeleyville, SC 29056-9666 | 2007-06-26 |
| 1124224050 | Janetta Jacobs | Counselor | 1399 Harmony Camp Rd, Greeleyville, SC 29056-9666 | 2007-06-26 |
| 1194921064 | Thomasina Bradley-black | Counselor | 1399 Harmony Camp Rd, Greeleyville, SC 29056-9666 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871920496 | Sharon D Rogers | Registered Nurse | 7 Varner Ave, Greeleyville, SC 29056 | 2013-09-27 |
| 1316134828 | Walter R Rogan | Durable Medical Equipment & Medical Supplies | 105 S. Main Street, Greeleyville, SC 29056 | 2007-09-28 |
| 1750349353 | Meshellia A Hayward | Nurse Practitioner | 86 North Main Street, Greeleyville, SC 29056 | 2006-05-03 |
| 1730426073 | Hazeline Claudia Outram-evans | Registered Nurse | 11 Oak Hill Loop, Greeleyville, SC 29056-0130 | 2013-01-07 |
| 1568527752 | Greeleyville Pharmacy | Pharmacy | 105 Main St, Greeleyville, SC 29056-0277 | 2006-12-27 |
| 1396044988 | Seed Time To Harvest Residential Behavioral Health Services, LLC | Counselor | 444 Manning Hwy, Greeleyville, SC 29056-9299 | 2011-03-22 |
| 1497126015 | Hopehealth, Inc. | Clinic/Center | 86 North Main Street, Greeleyville, SC 29056-9329 | 2015-10-08 |
| 1558308965 | Black River Healthcare, Inc. | Nurse Practitioner | 86 N Main St, Greeleyville, SC 29056-9374 | 2006-06-02 |
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114551926 | Nocd North Carolina PC | Clinic/Center | 374 Lakewind Dr, Moncks Corner, SC 29461-7448 | 2020-03-02 |
| 1316419484 | Open Arms Counseling Center | Clinic/Center | 123 Erinvine Ct, Darlington, SC 29532-4203 | 2018-12-29 |
| 1750851085 | Jacobus Orthopedics and Interventional Pain Management LLC | Clinic/Center | 118 Clair Dr, Piedmont, SC 29673-7771 | 2018-11-29 |
| 1629556477 | Healthworks Med Group of South Carolina P C | Clinic/Center | 701 Chesterfield Hwy, Cheraw, SC 29520-7002 | 2018-08-03 |
| 1780177576 | Denmark-olar Elementary School | Clinic/Center | 1459 Solomon Blatt Blvd, Denmark, SC 29042 | 2018-06-07 |
| 1841782802 | Denmark-olar High School | Clinic/Center | 197 Viking Cir, Denmark, SC 29042 | 2018-06-05 |
| 1760974828 | Sandy Run K-8 School | Clinic/Center | 450 Old Swamp Rd, Swansea, SC 29160 | 2018-06-05 |
| 1881185999 | St. Matthews K-8 School | Clinic/Center | 132 Saints Avenue, St .matthews, SC 29135 | 2018-05-24 |
| 1598256711 | Calhoun County High School | Clinic/Center | 150 Saints Ave, St Matthews, SC 29135-9005 | 2018-05-23 |
| 1962908558 | Vitality Health Network LLC | Clinic/Center | 3100 Dick Pond Rd Unit E, Myrtle Beach, SC 29588-7286 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
| City | GREELEYVILLE |
| Zip Code | 29056 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.