HOPEWELL SENIOR DAYCARE (NPI# 1104954361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104954361 |
| Entity Type | Organization |
| Organization Name | HOPEWELL SENIOR DAYCARE |
| Practice Address |
1277 Blakely Rd Salters SC 29590-3439 |
| Practice Telephone | 8433876376 |
| Practice Fax Number | 8433876573 |
| Mailing Telephone | 8433876376 |
| Mailing Fax Number | 8433876573 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DOTTIE M EVANS (ADMINISTRATOR) |
| Authorized Official Telephone | 8433876376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | ADC 206 | SC | Agencies |
| Street Address |
1277 BLAKELY RD |
| City | SALTERS |
| State | SC |
| Zip Code | 29590-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942756929 | Winstream International LLC. | Ambulance | 165 Seabrook Rd., Salters, SC 29590 | 2016-08-30 |
| 1720131550 | Jerry L Mcdaniel | Contractor | 481 Dixie Road, Salters, SC 29590 | 2007-01-18 |
| 1558904565 | Carla Funk Johnson | Clinical Nurse Specialist | 191 Old Gapway Road, Salters, SC 29590-0064 | 2019-10-22 |
| 1265965206 | Terri Moore | Licensed Practical Nurse | 4568 Seaboard Rd, Salters, SC 29590-3365 | 2017-04-06 |
| 1134101561 | David Anthony Massa | Internal Medicine | 8301 Us Highway 521, Salters, SC 29590-3705 | 2005-11-21 |
| 1760619167 | Fci Williamsburg | General Acute Care Hospital | 8301 Us Highway 521, Salters, SC 29590-3705 | 2009-06-12 |
| 1114456654 | Ausha Nicole Mcknight | Home Health Aide | 211 Mcmaster Rd, Salters, SC 29590-3724 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558904565 | Carla Funk Johnson | Clinical Nurse Specialist | 191 Old Gapway Road, Salters, SC 29590-0064 | 2019-10-22 |
| 1114456654 | Ausha Nicole Mcknight | Home Health Aide | 211 Mcmaster Rd, Salters, SC 29590-3724 | 2017-06-08 |
| 1265965206 | Terri Moore | Licensed Practical Nurse | 4568 Seaboard Rd, Salters, SC 29590-3365 | 2017-04-06 |
| 1942756929 | Winstream International LLC. | Ambulance | 165 Seabrook Rd., Salters, SC 29590 | 2016-08-30 |
| 1720131550 | Jerry L Mcdaniel | Contractor | 481 Dixie Road, Salters, SC 29590 | 2007-01-18 |
| 1134101561 | David Anthony Massa | Internal Medicine | 8301 Us Highway 521, Salters, SC 29590-3705 | 2005-11-21 |
| 1760619167 | Fci Williamsburg | General Acute Care Hospital | 8301 Us Highway 521, Salters, SC 29590-3705 | 2009-06-12 |
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540562 | Lilys In Home Care | Day Training, Developmentally Disabled Services | 1567 S Main St, Darlington, SC 29532-7731 | 2018-12-17 |
| 1578032405 | Forma Medical Solutions LLC | Day Training, Developmentally Disabled Services | 107 Orange St Apt 202, Darlington, SC 29532-3107 | 2018-11-20 |
| 1174976864 | Nicole Grippo-leodis | Day Training, Developmentally Disabled Services | 3041 Drewsky Ln Unit 304, Fort Mill, SC 29715-0108 | 2016-07-18 |
| 1720448517 | Mountain Top Adult Day Center | Day Training, Developmentally Disabled Services | 1941 Decker Blvd, Columbia, SC 29206-3470 | 2016-03-07 |
| 1780069427 | Hope's Home Care | Day Training, Developmentally Disabled Services | 889 Red Rd, Kingstree, SC 29556-7419 | 2015-07-23 |
| 1356740765 | Hampton County Disabilities and Special Needs Board | Day Training, Developmentally Disabled Services | 294 Hampton Road, Varnville, SC 29944 | 2014-08-21 |
| 1184055543 | Anderson County Disabilities and Special Needs Board | Day Training, Developmentally Disabled Services | 214 Mcgee Rd, Anderson, SC 29625-2104 | 2013-12-10 |
| 1063845881 | Horry County Disabilities & Special Needs Board | Day Training, Developmentally Disabled Services | 250 Victory Ln, Conway, SC 29526-8650 | 2013-08-15 |
| 1245574672 | Glenforest School | Day Training, Developmentally Disabled Services | 1041 Harbor Dr, West Columbia, SC 29169-3609 | 2012-11-26 |
| 1962701169 | Autism Institute of South Carolina, LLC | Day Training, Developmentally Disabled Services | 3924 Forest Dr, Suite #3, Columbia, SC 29204-4150 | 2011-03-28 |
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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.