GIVEBAC INCORPORATED (NPI# 1063681591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063681591 |
| Entity Type | Organization |
| Organization Name | GIVEBAC INCORPORATED |
| Other Organization Name | ACE CAMP |
| Practice Address |
1481 Ted Melton Rd Chesterfield SC 29709-6313 |
| Mailing Address |
1481 Ted Melton Rd Po Box 347 Chesterfield SC 29709-6313 |
| Practice Telephone | 8436233077 |
| Practice Fax Number | 8436233077 |
| Mailing Telephone | 8436233077 |
| Mailing Fax Number | 8436233077 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | JEFFREY LYNN MCLAIN (TREATMENT DIRECTOR) |
| Authorized Official Telephone | 8436233077 |
| Authorized Official Credential | CACII |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | OTP-002 | SC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CBT015 | 05 |
| Other Name | Type Code |
|---|---|
| Ace Camp | Doing Business As Name - Organization |
| Street Address |
1481 TED MELTON RD |
| City | CHESTERFIELD |
| State | SC |
| Zip Code | 29709-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964433 | Andrea Jean Horn | Counselor | 207 Perry Wiley Way, Chesterfield, SC 29709 | 2020-02-17 |
| 1851639207 | Jennifer Fuentes Perez | Psychologist | 207 Commerce Drive, Chesterfield, SC 29709 | 2013-01-18 |
| 1114068301 | Turning Point Boys Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3184 Hunts Mill Road, Chesterfield, SC 29709 | 2007-02-09 |
| 1083752505 | William Luke Perdue Sr. | Dentist | 220 South Craig St, Chesterfield, SC 29709 | 2007-02-05 |
| 1497830392 | State of South Carolina | Public Health or Welfare | 203 North Page Street, Chesterfield, SC 29709 | 2006-10-26 |
| 1619089729 | Bonnie J Cundiff | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2006-08-31 |
| 1730291857 | Gregory Lee Demby | Counselor | 207 Commerce Avenue, Tri County Mhc, Chesterfield, SC 29709 | 2006-08-31 |
| 1457369308 | Charles M Clark Dmd Pa | Dentist | 918 Holly St, Chesterfield, SC 29709 | 2006-08-04 |
| 1669023065 | Tonia Michelle Mcdonald | Counselor | 207 Commerce Ave., Chesterfield, SC 29709 | 2019-09-26 |
| 1437705431 | Madyson Elizabeth Scott | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2019-08-15 |
| Find all providers in zip 29709 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972143485 | Landmark Recovery of Columbia LLC | Substance Abuse Rehabilitation Facility | 140 Flora Dr, Columbia, SC 29223-5814 | 2020-01-13 |
| 1457800310 | Summit Bhc Cameron, LLC | Substance Abuse Rehabilitation Facility | 5401 Netherby Ln Ste 402, North Charleston, SC 29420-7363 | 2016-10-03 |
| 1235686833 | Summit Bhc Cameron, LLC | Substance Abuse Rehabilitation Facility | 499 Wild Hearts Road, Cameron, SC 29030 | 2016-09-01 |
| 1659776664 | Katonya Alford | Substance Abuse Rehabilitation Facility | 505 N 5th Ave, Dillon, SC 29536-2815 | 2014-11-03 |
| 1609008713 | Steve Austin Facility of Charleston | Substance Abuse Rehabilitation Facility | 1383 Remount Rd, North Charleston, SC 29406-3345 | 2009-08-23 |
| 1134158231 | Horry County Comm On Alcohol & Drug Abuse | Substance Abuse Rehabilitation Facility | 2404 Wise Rd, Conway, SC 29526-5521 | 2006-07-01 |
| 1770572448 | Tri-county County Commission On Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2005-10-17 |
| 1487653606 | Beaufort County Alcohol & Drug Abuse Department | Substance Abuse Rehabilitation Facility | 1905 Duke St, Ste 270, Beaufort, SC 29902-4403 | 2005-07-19 |
| 1861496234 | Department of Alcohol and Other Drug Abuse Services | Substance Abuse Rehabilitation Facility | 5 Charleston Center Dr, Charleston, SC 29401-1162 | 2005-06-13 |
| 1568096329 | Tanya C Hatton | Substance Abuse Rehabilitation Facility | 2711 Colonial Dr, Columbia, SC 29203-6818 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 29709 |
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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.