1215111406 NPI number — SOUTH CAROLINA EPISCOPAL HOME AT 'STILL HOPES'

Table of content: (NPI 1215111406)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215111406 NPI number — SOUTH CAROLINA EPISCOPAL HOME AT 'STILL HOPES'

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH CAROLINA EPISCOPAL HOME AT 'STILL HOPES'
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215111406
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/30/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 2959
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST COLUMBIA
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29171-2959
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-796-6490
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 STILL HOPES DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29169-7164
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-796-6490
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SANFORD
Authorized Official First Name:
DANNY
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
CEO/EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
803-739-5001

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  NCF392 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com