DORCHESTER COUNTY DISABILITIES AND SPECIAL NEEDS BOARD (NPI# 1750703815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750703815 |
| Entity Type | Organization |
| Organization Name | DORCHESTER COUNTY DISABILITIES AND SPECIAL NEEDS BOARD |
| Practice Address |
2717 W 5th North St Summerville SC 29483-9605 |
| Practice Telephone | 8438711285 |
| Practice Fax Number | 8438712929 |
| Mailing Telephone | 8438711285 |
| Mailing Fax Number | 8438712929 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |
| Authorized Official Name | CELESTE RICHARDSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8438711285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | SC | Agencies | |
| N | 251C00000X | Day Training, Developmentally Disabled Services | SC | Agencies | |
| N | 252Y00000X | Early Intervention Provider Agency | SC | Agencies | |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | SC | Residential Treatment Facilities |
| Street Address |
2717 W 5TH NORTH ST |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-9605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257816 | The Behavior Co. LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Cardington Ct, Columbia, SC 29209-3241 | 2020-05-18 |
| 1831463538 | Babcock Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2725 Banny Jones Ave, West Columbia, SC 29170-2109 | 2012-02-28 |
| 1487781936 | Union Disabilities & Special Needs | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 226 S Gadberry St, Union, SC 29379 | 2007-02-28 |
| 1467598631 | Generations Alternative Program, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 820 Dunklin Bridge Rd, Fountain Inn, SC 29644-9725 | 2007-01-29 |
| 1265045629 | D&s Community Services Sc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 777 Lowndes Hill Rd, Bldg. 3, Suites 100 & 100a, Greenville, SC 29607 | 2020-08-26 |
| 1508481607 | Vanisha Bennett | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 305 Shada Ln, Greenville, SC 29611-2068 | 2020-06-15 |
| 1750895397 | Paradise Pointe Residential Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1041 Cockerill Rd, Sumter, SC 29154-8893 | 2017-11-17 |
| 1689120503 | Charles Lea Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 195 Burdette St, Spartanburg, SC 29307-1003 | 2016-08-31 |
| 1699088070 | Greenville County Disabilities and Special Needs Board | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1700 Ridge Road, Greenville, SC 29607-4730 | 2010-07-14 |
| City | SUMMERVILLE |
| Zip Code | 29483 |
Please comment or provide details below to improve the information on DORCHESTER COUNTY DISABILITIES AND SPECIAL NEEDS BOARD.
| 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.