AVALONIA GROUP HOMES, INC. (NPI# 1508017476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508017476 |
| Entity Type | Organization |
| Organization Name | AVALONIA GROUP HOMES, INC. |
| Other Organization Name | HAMPTON P.R.T.F. |
| Practice Address |
404 Hampton Ave Pickens SC 29671-2608 |
| Mailing Address |
Po Box 1214 Pickens SC 29671-1214 |
| Practice Telephone | 8648978050 |
| Practice Fax Number | 8648787276 |
| Mailing Telephone | 8648978050 |
| Mailing Fax Number | 8648787276 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | MR. MARVIN J. SHORT III (PRESIDENT) |
| Authorized Official Telephone | 8643136967 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | RTF-0020 | SC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIORNMENTAL CONTROL | RTF-0020 | 01 |
| Other Name | Type Code |
|---|---|
| Hampton P.R.T.F. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073699617 | Avalonia Group Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 213 Hart Cut Rd, Marietta, SC 29661-9687 | 2006-10-27 |
| 1558881524 | Avalonia Group Homes, Inc. | Family Medicine | 404 Hampton Ave, Pickens, SC 29671-2608 | 2017-06-21 |
| Street Address |
404 HAMPTON AVE |
| City | PICKENS |
| State | SC |
| Zip Code | 29671-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558881524 | Avalonia Group Homes, Inc. | Family Medicine | 404 Hampton Ave, Pickens, SC 29671-2608 | 2017-06-21 |
| 1457617342 | Leslie Nevins Tate | Counselor | 404 Hampton Ave, Pickens, SC 29671-2608 | 2012-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588159750 | Rhonda B Billingsley | Counselor | 44 Lagerholm Mtn Rd, Pickens, SC 29671 | 2018-06-28 |
| 1275051815 | Matthew Christopher Going | Counselor | 309 E Main Street, Pickens, SC 29671 | 2017-09-05 |
| 1528584596 | Rachel L Roach | Counselor | 309 E. Main Street, Pickens, SC 29671 | 2017-08-21 |
| 1679828172 | Dustin Bradley Harward | Specialist/Technologist | 203 Shady Grove Estates, Pickens, SC 29671 | 2012-07-20 |
| 1770616633 | Paul W Giddings | Dentist | 108 Massingill Rd, Pickens, SC 29671 | 2007-03-13 |
| 1558405563 | James Rudolph Mahanes | Surgery | 123 Wg Acker Drive, Suite D, Pickens, SC 29671 | 2007-02-16 |
| 1598839573 | Mary C Hammond | Family Medicine | 865 Pendleton St, Pickens, SC 29671 | 2006-11-20 |
| 1467400671 | Kathy Marie Waggett | Psychiatry & Neurology | 314 West Main St, Pickens, SC 29671 | 2006-05-04 |
| 1932753480 | Jaimee Chapman | Social Worker | 309 E. Main Street, Pickens, SC 29671 | 2019-08-01 |
| 1538418637 | Lauri Stump Keeney | Pharmacist | 204 Hampton Ave, Pickens, SC 29671 | 2012-09-05 |
| Find all providers in zip 29671 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669902979 | Palmetto Pee Dee Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 601 Gregg Ave Ste B, Florence, SC 29501-4316 | 2017-06-19 |
| 1275821712 | Generations Residential Programs, Inc. | Psychiatric Residential Treatment Facility | 841 Dunklin Bridge Road, Fountain Inn, SC 29644-9725 | 2011-07-19 |
| 1083852511 | Excalibur Youth Services, LLC. | Psychiatric Residential Treatment Facility | 3683 S. Industrial Dr., Simpsonville, SC 29681 | 2009-01-21 |
| 1508979956 | Palmetto Pee Dee Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 601 Gregg Ave., Florence, SC 29501-4316 | 2006-08-17 |
| 1467485144 | Abs Lincs Sc Inc | Psychiatric Residential Treatment Facility | 225 Midland Parkway, Summerville, SC 29485 | 2006-07-08 |
| 1114984812 | Thompson Child & Family Focus | Psychiatric Residential Treatment Facility | 234 Kings Mountain St, York, SC 29745-1131 | 2006-04-27 |
| 1770093684 | Social Remedies Inc | Psychiatric Residential Treatment Facility | 920 Berry St, Manning, SC 29102-2002 | 2017-10-05 |
| 1558891861 | Three Rivers Residential Treatment Midlands Campus | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170 | 2017-06-19 |
| 1407386923 | Abs Lincs Sc, Inc. | Psychiatric Residential Treatment Facility | 225 Midland Pkwy, Summerville, SC 29485-8104 | 2017-06-18 |
| 1821524067 | Three Rivers Midlands | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2017-05-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AVALONIA GROUP HOMES, INC..
| 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.