THREE RIVERS RESIDENTIAL TREATMENT MIDLANDS CAMPUS (NPI# 1558891861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558891861 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS RESIDENTIAL TREATMENT MIDLANDS CAMPUS |
| Practice Address |
200 Ermine Rd West Columbia SC 29170 |
| Practice Telephone | 8037919918 |
| Mailing Telephone | 8037919918 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | STEVEN FILTON (SR VP CFO) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RTF004 | 05 | |
| SC | STATE LICENSE | RTF0018 | 01 |
| Street Address |
200 ERMINE RD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802796 | Kim James Masters | Psychiatry & Neurology | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2005-06-26 |
| 1821524067 | Three Rivers Midlands | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2017-05-09 |
| 1891129797 | Three Rivers Behavioral Health LLC | Clinic/Center | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2013-08-27 |
| 1164502621 | Deborah Bailey | Social Worker | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2006-10-17 |
| 1144253824 | Three Rivers Residential Treatment Midlands Campus, Inc. | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104344993 | Holly Helms | Specialist/Technologist | 519 Dickson Hill Circle, West Columbia, SC 29170 | 2017-09-01 |
| 1336524115 | Mary C Ward | Nurse Practitioner | 3316 Plattsprings Rd, West Columbia, SC 29170 | 2015-07-22 |
| 1215379680 | Ethan Knight | Pharmacist | 244 Stonewood Court, West Columbia, SC 29170 | 2013-07-25 |
| 1376827238 | Myra Jones | Community Health Worker | 1059 Meeting St., West Columbia, SC 29170 | 2011-10-10 |
| 1043425234 | Autumn R Zamudio | Nurse's Aide | 1118 W. Fairfiled Dr., W. Columbia, SC 29170 | 2007-05-11 |
| 1477623791 | Deno Stavros Chrysostom | Dentist | 3308 Platt Springs Rd, West Columbia, SC 29170 | 2006-11-08 |
| 1760578280 | James Horace Phillips Jr. | Pharmacist | 3901 Edmund Rd, Suite D, West Columbia, SC 29170 | 2006-10-04 |
| 1457379901 | Lexington County Health Services District, Inc. | Family Medicine | 3314 Platt Springs Rd, West Columbia, SC 29170 | 2006-07-17 |
| 1699155119 | Michael Stewart Comer | Family Medicine | 3314 Platt Springs Rd, West Columbia, SC 29170 | 2015-06-01 |
| 1346628286 | Katelin F Gardner, Dc | Chiropractor | 2230 Airport Blvd, Chiropractic Lifestyles, West Columbia, SC 29170 | 2015-05-12 |
| Find all providers in zip 29170 | ||||
| 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 |
|---|---|---|---|---|
| 1821524067 | Three Rivers Midlands | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2017-05-09 |
| 1144253824 | Three Rivers Residential Treatment Midlands Campus, Inc. | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2006-07-08 |
| 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 |
| 1508017476 | Avalonia Group Homes, Inc. | Psychiatric Residential Treatment Facility | 404 Hampton Ave, Pickens, SC 29671-2608 | 2008-10-09 |
| 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 |
| 1407386923 | Abs Lincs Sc, Inc. | Psychiatric Residential Treatment Facility | 225 Midland Pkwy, Summerville, SC 29485-8104 | 2017-06-18 |
| 1235401340 | Mari Asper Md, LLC | Psychiatric Residential Treatment Facility | 9263 Medical Plaza Dr, Suite A, North Charleston, SC 29406-7109 | 2012-02-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29170 |
Please comment or provide details below to improve the information on THREE RIVERS RESIDENTIAL TREATMENT MIDLANDS CAMPUS.
| 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.