THREE RIVERS BEHAVIORAL CARE, LLC (NPI# 1073509055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073509055 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS BEHAVIORAL CARE, LLC |
| Other Organization Name | THREE RIVERS BEHAVIORAL HEALTH |
| Practice Address |
2900 Sunset Blvd West Columbia SC 29169-3422 |
| Practice Telephone | 8037969911 |
| Mailing Telephone | 8037969911 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2013-02-25 |
| Authorized Official Name | STEVE FILTON (SRVP CFO) |
| Authorized Official Telephone | 6107383300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
SC | Ambulatory Health Care Facilities | |
| Y | 323P00000X | Psychiatric Residential Treatment Facility | RTC-015 | SC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RTF023 | 05 |
| Other Name | Type Code |
|---|---|
| Three Rivers Behavioral Health | Doing Business As Name - Organization |
| Street Address |
2900 SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427044957 | Three Rivers Behavioral Health LLC | Psychiatric Hospital | 2900 Sunset Blvd, West Columbia, SC 29169-3422 | 2005-09-20 |
| 1447898010 | Tamara Jacquelyn Wright | Social Worker | 2900 Sunset Blvd, West Columbia, SC 29169-3422 | 2019-12-13 |
| 1588217368 | Emmy Margaret Boring | Counselor | 2900 Sunset Blvd, West Columbia, SC 29169-3422 | 2019-07-20 |
| 1265804066 | Phyllis Raynor | Nurse Practitioner | 2900 Sunset Blvd, West Columbia, SC 29169-3422 | 2015-10-20 |
| 1639557135 | Alicia Patricia Harris | Counselor | 2900 Sunset Blvd, West Columbia, SC 29169-3422 | 2015-05-15 |
| 1841586187 | Three Rivers Behavioral Health LLC | Psychiatric Hospital | 2900 Sunset Blvd, West Columbia, SC 29169-3422 | 2011-06-24 |
| 1013229855 | Atit Bhattachan | Psychiatry & Neurology | 2900 Sunset Blvd, West Columbia, SC 29169-3422 | 2010-07-09 |
| 1013178334 | Tiona Guess Praylow | Psychiatry & Neurology | 2900 Sunset Blvd, West Columbia, SC 29169-3422 | 2008-06-19 |
| 1104835537 | Psych M.d. Associates LLC | Psychiatric Hospital | 2900 Sunset Blvd, West Columbia, SC 29169-3422 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558891861 | Three Rivers Residential Treatment Midlands Campus | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170 | 2017-06-19 |
| 1821524067 | Three Rivers Midlands | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2017-05-09 |
| 1144253824 | Three Rivers Residential Treatment Midlands Campus, Inc. | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669902979 | Palmetto Pee Dee Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 601 Gregg Ave Ste B, Florence, SC 29501-4316 | 2017-06-19 |
| 1275821712 | Generations Residential Programs, Inc. | Psychiatric Residential Treatment Facility | 841 Dunklin Bridge Road, Fountain Inn, SC 29644-9725 | 2011-07-19 |
| 1083852511 | Excalibur Youth Services, LLC. | Psychiatric Residential Treatment Facility | 3683 S. Industrial Dr., Simpsonville, SC 29681 | 2009-01-21 |
| 1508017476 | Avalonia Group Homes, Inc. | Psychiatric Residential Treatment Facility | 404 Hampton Ave, Pickens, SC 29671-2608 | 2008-10-09 |
| 1508979956 | Palmetto Pee Dee Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 601 Gregg Ave., Florence, SC 29501-4316 | 2006-08-17 |
| 1467485144 | Abs Lincs Sc Inc | Psychiatric Residential Treatment Facility | 225 Midland Parkway, Summerville, SC 29485 | 2006-07-08 |
| 1114984812 | Thompson Child & Family Focus | Psychiatric Residential Treatment Facility | 234 Kings Mountain St, York, SC 29745-1131 | 2006-04-27 |
| 1770093684 | Social Remedies Inc | Psychiatric Residential Treatment Facility | 920 Berry St, Manning, SC 29102-2002 | 2017-10-05 |
| 1407386923 | Abs Lincs Sc, Inc. | Psychiatric Residential Treatment Facility | 225 Midland Pkwy, Summerville, SC 29485-8104 | 2017-06-18 |
| 1235401340 | Mari Asper Md, LLC | Psychiatric Residential Treatment Facility | 9263 Medical Plaza Dr, Suite A, North Charleston, SC 29406-7109 | 2012-02-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.