VALLEY OF YOUTH (NPI# 1760543524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760543524 |
Entity Type | Organization |
Organization Name | VALLEY OF YOUTH |
Practice Address |
352 Spring Park Rd Marietta SC 29661-9229 |
Mailing Address |
352 Spring Park Rd P.o. Box 88 Marietta SC 29661-9229 |
Practice Telephone | 8648365849 |
Mailing Telephone | 8648365849 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. ROLENA WILLIAMS HARRISON (EXECTIVE DIRACTOR) |
Authorized Official Telephone | 8648365849 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | SR-1002962001-GH | SC | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 891MXH | 05 |
Street Address |
352 SPRING PARK RD |
City | MARIETTA |
State | SC |
Zip Code | 29661-9229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821363094 | Kellie P Vernon | Massage Therapist | 275 Wildazalea Lane, Marietta, SC 29661 | 2012-03-20 |
1649470428 | James E Barnett | Family Medicine | 207 Pumpkintown Road, Marietta, SC 29661 | 2007-07-20 |
1952475949 | Dr Byron K. Bridges Dds Pa | Dentist | 3037 Geer Hwy, Marietta, SC 29661 | 2006-11-20 |
1750476875 | Happy Hooves, Inc. | Occupational Therapist | 4700 Dacusville Highway, Marietta, SC 29661 | 2006-10-04 |
1659385078 | Vassar C.livengood | Pharmacist | 101 Pumpkintown Rd, Marietta, SC 29661 | 2006-07-28 |
1285989111 | Justin Degarmo | Dentist | 3037 Geer Hwy, Marietta, SC 29661 | 2012-07-17 |
1376197335 | Nicole I Crawford | Nurse Practitioner | 868 Cedar Rd, Marietta, SC 29661-9006 | 2019-07-29 |
1447219696 | Mpi Management, Inc | Skilled Nursing Facility | 2906 Geer Hwy, Marietta, SC 29661-9517 | 2006-03-17 |
1386113801 | Sc-ga2018 River Falls Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 2906 Geer Hwy, Marietta, SC 29661-9517 | 2018-11-14 |
1578991626 | River Falls Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 2906 Geer Hwy, Marietta, SC 29661-9517 | 2013-10-29 |
Find all providers in zip 29661 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023677713 | Earlean Blackwell | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1865 Waldrep Cir Se, Marietta, GA 30060-4927 | 2019-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245855352 | Giving Hope Supportive Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 305 Shada Ln, Greenville, SC 29611-2068 | 2020-06-15 |
1235531872 | Infiniti Solutions Global LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4706 E Highway 76, Mullins, SC 29574-7290 | 2014-09-25 |
1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
1063750941 | Colleton County Board of Disabilities and Special Needs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 728 Hiers Corner Rd, Walterboro, SC 29488-5601 | 2013-01-28 |
1184826380 | York County Board of Disabilities & Special Needs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7900 Park Place Rd, York, SC 29745-7476 | 2007-06-01 |
1790820041 | Marion-dillon County Board of Disabilities and Special Needs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 400 Ml King Drive, Marion, SC 29571-1082 | 2007-02-21 |
1497825723 | The Youth Academy Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 237 Lela Harrison Road, Kingstree, SC 29556 | 2006-11-08 |
1972524957 | Windwood Farm Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4857 Windwood Farm Rd, Awendaw, SC 29429-5951 | 2006-07-22 |
1679010276 | Lamonte Dunlap | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 402 N Main St, Summerville, SC 29483-6440 | 2017-01-21 |
1053659169 | Allendale Barnwell Counties Dsn Board | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 20 Park St, Barnwell, SC 29812-2900 | 2013-01-24 |
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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.