THE CENTER OF CHANGE (NPI# 1992846869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992846869 |
Entity Type | Organization |
Organization Name | THE CENTER OF CHANGE |
Practice Address |
1228 Main St West Columbia SC 29170-4026 |
Mailing Address |
Po Box 12043 Columbia SC 29211-2043 |
Practice Telephone | 8037557787 |
Practice Fax Number | 8037552666 |
Mailing Telephone | 8037557787 |
Mailing Fax Number | 8037552666 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. DEBURN SANDERS (PROGRAM DIRECTOR) |
Authorized Official Telephone | 8037557787 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | SC | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 930MXH | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | THE CENTER OF CHANGE | 15541 12th Ave Ne, Shoreline, WA 98155 |
Street Address |
1228 MAIN ST |
City | WEST COLUMBIA |
State | SC |
Zip Code | 29170-4026 |
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 |
1558891861 | Three Rivers Residential Treatment Midlands Campus | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170 | 2017-06-19 |
1699155119 | Michael Stewart Comer | Family Medicine | 3314 Platt Springs Rd, West Columbia, SC 29170 | 2015-06-01 |
Find all providers in zip 29170 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235797812 | Wise Care Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1435 Deberry Blvd, Florence, SC 29501-5601 | 2019-05-30 |
1366937021 | Doors To Freedom | Residential Treatment Facility, Emotionally Disturbed Children | 1317m N Main St # 263, Summerville, SC 29483-7307 | 2018-06-26 |
1205297967 | Potter's House Palmetto, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 104 E Berry St, Lincolnville, SC 29485-7204 | 2016-03-09 |
1710342522 | New Directions | Residential Treatment Facility, Emotionally Disturbed Children | 3685 Travertine Dr, Lancaster, SC 29720-6934 | 2015-12-21 |
1609219906 | Billie Hardee Home for Boys | Residential Treatment Facility, Emotionally Disturbed Children | 1120 Timmonsville Hwy, Darlington, SC 29532-9998 | 2013-04-17 |
1205175452 | S.c Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 2112 Chandler Ave, Columbia, SC 29210-6204 | 2013-02-07 |
1477820504 | Cherokee Creek Boys School | Residential Treatment Facility, Emotionally Disturbed Children | 198 Cooper Rd, Westminster, SC 29693-3309 | 2011-11-17 |
1124260427 | Broadstep Academy-sc, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1370 N Williamsburg County Hwy, Kingstree, SC 29556-7027 | 2009-04-01 |
1235325242 | New Beginnings of Charleston Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 716 W Front St, Lincolnville, SC 29485-7112 | 2007-09-24 |
1639399553 | Orangeburg Attention Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 155 Wall St Rm 16, Orangeburg, SC 29115-5404 | 2007-04-26 |
Find all providers with the same taxonomy |
City | WEST COLUMBIA |
Zip Code | 29170 |
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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.