CBH OF ANDERSON, OPERATING, LLC (NPI# 1568912285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568912285 |
| Entity Type | Organization |
| Organization Name | CBH OF ANDERSON, OPERATING, LLC |
| Other Organization Name | WILLIAMSTON YOUTH ACADEMY |
| Practice Address |
313 Williams St Williamston SC 29697-1928 |
| Practice Telephone | 8648412211 |
| Mailing Telephone | 8648412211 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | MS. TERRY PRICE-DECKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8648412211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | SS-0001041791001 | SC | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Williamston Youth Academy | Doing Business As Name - Organization |
| Street Address |
313 WILLIAMS ST |
| City | WILLIAMSTON |
| State | SC |
| Zip Code | 29697-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760893705 | Daniel Alexander Ellis | Occupational Therapy Assistant | 801 N. Hamilton St., Williamston, SC 29697 | 2014-05-13 |
| 1093134108 | Luz Brown | Pharmacist | 102 Wood Stream Way, Williamston, SC 29697 | 2014-04-16 |
| 1144644410 | Lynne Phillips | Registered Nurse | 804 N. Hamilton Street, Williamston, SC 29697 | 2014-02-07 |
| 1396969556 | Ambucare Ambulance LLC. | Non-emergency Medical Transport (VAN) | 303 Beaverdam Road, Williamston, SC 29697 | 2007-04-12 |
| 1275676892 | Jorge Antonio Perdomo | Social Worker | 900 Greenville Drive, Williamston, SC 29697 | 2007-02-14 |
| 1245301985 | Complete Healing & Wellness Center P.a. | Chiropractor | 24 East Main St, Williamston, SC 29697 | 2006-11-13 |
| 1255402905 | Jack D Wise Jr. | Chiropractor | 24 East Main Street, Williamston, SC 29697 | 2006-11-13 |
| 1285839563 | Lou Wingo Rogers | Counselor | 900 Greenville Drive, Williamston, SC 29697 | 2007-06-18 |
| 1578634218 | Marylouise Schultz Wise | Chiropractor | 24 East Main St, Williamston, SC 29697 | 2006-11-13 |
| 1447654363 | New Dominion Community Services LLC | Counselor | 900 Greenville Drive, Williamston, SC 29697-0000 | 2014-10-21 |
| Find all providers in zip 29697 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875130 | Uprising Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 21120 Nc Hwy 125, Williamston, NC 27892-2629 | 2017-08-03 |
| 1508396482 | Uprising Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 119 Peele St, Williamston, NC 27892-2629 | 2017-06-14 |
| 1164946851 | Uprising Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 119 Peele St, Williamston, NC 27892-2629 | 2017-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124586599 | Lucille Manor Community Residential Care, LLP | Community Based Residential Treatment Facility, Mental Illness | 1004 R L Coward Rd, Eastover, SC 29044-9455 | 2019-03-05 |
| 1497290852 | Carolina Roses of Blythewood LLC | Community Based Residential Treatment Facility, Mental Illness | 5338 Hardscrabble Rd, Blythewood, SC 29016 | 2016-12-21 |
| 1235592072 | Dodababy Inc | Community Based Residential Treatment Facility, Mental Illness | 1775 Commissary St, N Charleston, SC 29405-1905 | 2016-03-30 |
| 1962880690 | Butterfly Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1562 Fred Davis Road, Cheraw, SC 29520 | 2015-05-14 |
| 1144639881 | Mary's Angels Independent Living for Young Women | Community Based Residential Treatment Facility, Mental Illness | 29 Sunflower Dr, Cades, SC 29518-3312 | 2014-08-06 |
| 1730510066 | Elizabeth Bledsoe | Community Based Residential Treatment Facility, Mental Illness | 924 Barr Woods Rd, Saluda, SC 29138-8191 | 2013-12-12 |
| 1013256080 | Amikids Palmetto, Inc. | Community Based Residential Treatment Facility, Mental Illness | 780 T Bishop Rd, Jonesville, SC 29353-2342 | 2013-02-11 |
| 1811234206 | Carolina Health and Wellness | Community Based Residential Treatment Facility, Mental Illness | 317 Silver Fox Ln, Columbia, SC 29212-2491 | 2013-01-06 |
| 1033499827 | Joyce C Gregory | Community Based Residential Treatment Facility, Mental Illness | 2415 Fork Shoals Rd, Piedmont, SC 29673 | 2011-08-24 |
| 1699006353 | Murry's Community Care Home | Community Based Residential Treatment Facility, Mental Illness | 79 Sal Sue Ct, Columbia, SC 29203-3821 | 2010-01-20 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTON |
| Zip Code | 29697 |
Please comment or provide details below to improve the information on CBH OF ANDERSON, OPERATING, LLC.
| 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.