ROCKHAVEN CCH


Address: 524 Rockhaven Dr, Columbia, SC 29223-7805
Phone: 8036995361

ROCKHAVEN CCH (NPI# 1578719043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578719043
Entity Type Organization
Organization Name ROCKHAVEN CCH
Practice Address 524 Rockhaven Dr
Columbia
SC 29223-7805
Practice Telephone 8036995361
Mailing Telephone 8036995361
Enumeration Date 2008-08-14
Last Update Date 2008-08-14
Authorized Official Name MR. RICHIE DAVELL BARNES (ADMINISTRATOR)
Authorized Official Telephone 8036995361
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness RC0800 SC Residential Treatment Facilities

Office Location

Street Address 524 ROCKHAVEN DR
City COLUMBIA
State SC
Zip Code 29223-7805

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1295199859 Sarah Ann Riley Nurse Practitioner Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 2016-04-11
1134583214 Sara Alisha Pound Behavioral Analyst 97b Winterberry Ln, Columbia, SC 29223 2016-04-05
1508227653 Lucy Elvira Vicioso-harris Counselor 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 2016-03-17
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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1790305522 Milaya L Webster Community Based Residential Treatment Facility, Mental Illness 809 South Water Streer, Columbia, TN 38401 2020-04-22
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1811234206 Carolina Health and Wellness Community Based Residential Treatment Facility, Mental Illness 317 Silver Fox Ln, Columbia, SC 29212-2491 2013-01-06
1699006353 Murry's Community Care Home Community Based Residential Treatment Facility, Mental Illness 79 Sal Sue Ct, Columbia, SC 29203-3821 2010-01-20
1356584155 A & A Residential Care Facility Community Based Residential Treatment Facility, Mental Illness 121 S Highland Forest Dr, Columbia, SC 29203-1915 2009-04-09
1215177076 Whitaker's Cch Community Based Residential Treatment Facility, Mental Illness 79 Sal Sue Court, Columbia, SC 29203 2009-03-05
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1861014938 Regan Moore Bernardoni Community Based Residential Treatment Facility, Mental Illness 2122 Circle Dr, Columbia, TN 38401-4430 2020-05-12
1407477664 Rosanna Candace Duke Community Based Residential Treatment Facility, Mental Illness 2122 Circle Dr, Columbia, TN 38401-4430 2020-04-29
1124576277 Palmetto Project Counseling Group Community Based Residential Treatment Facility, Mental Illness 1825 Saint Julian Pl, Columbia, SC 29204-2424 2016-09-19
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Competitor

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City COLUMBIA
Zip Code 29223

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Dataset Information

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.

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