THE CENTER OF CHANGE


Address: 1228 Main St, West Columbia, SC 29170-4026
Phone: 8037557787

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children SC Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
SC 930MXH 05

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations THE CENTER OF CHANGE 15541 12th Ave Ne, Shoreline, WA 98155

Office Location

Street Address 1228 MAIN ST
City WEST COLUMBIA
State SC
Zip Code 29170-4026

Providers in the same zip code

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 Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City WEST COLUMBIA
Zip Code 29170

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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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