LUTHERAN FAMILY SERVICES IN THE CAROLINAS (NPI# 1215073440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215073440 |
| Entity Type | Organization |
| Organization Name | LUTHERAN FAMILY SERVICES IN THE CAROLINAS |
| Practice Address |
4240 Timberlane Dr Columbia SC 29205-4941 |
| Mailing Address |
Po Box 12287 Raleigh NC 27605-2287 |
| Practice Telephone | 8037900810 |
| Mailing Telephone | 9198322620 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DWIGHT MURRAY (AR AND CONTRACTS MANGER) |
| Authorized Official Telephone | 9198612850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | SR-0008193001 GH | SC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 928MXH | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881919249 | Lutheran Family Services In The Carolinas | Community/Behavioral Health | 616 Hutton St, Raleigh, NC 27606-1444 | 2010-03-29 |
| 1487865853 | Lutheran Family Services In The Carolinas | Community Based Residential Treatment Facility, Mental Illness | 130 Booth Rd, Chapel Hill, NC 27516-9643 | 2007-05-25 |
| 1225242555 | Lutheran Family Services In The Carolinas | Community/Behavioral Health | 112 Cox Ave, Raleigh, NC 27605-1817 | 2007-05-09 |
| 1093853822 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 1440 Broad River Rd, Columbia, SC 29210-7643 | 2007-02-02 |
| 1477690436 | Lutheran Family Services In The Carolinas | Community/Behavioral Health | 891 Willow Dr Ste 2, Chapel Hill, NC 27514-7077 | 2007-01-31 |
| 1033256383 | Lutheran Family Services In The Carolinas | Social Worker | 4008 S. Nc Hwy. 62, Burlington, NC 27201-0250 | 2007-01-30 |
| 1447396262 | Lutheran Family Services In The Carolinas | Counselor | 867 5th St Ne, Hickory, NC 28601-3939 | 2007-01-29 |
| 1124164355 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 4230 Timberlane Dr, Columbia, SC 29205-4941 | 2007-01-29 |
| 1609912831 | Lutheran Family Services In The Carolinas | Technician | 2032 Homestead Place, Chapel Hill, NC 27516-9076 | 2007-01-29 |
| 1790821924 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 1240 Louis Leconte Rd., Hopkins, SC 29061-8680 | 2007-01-29 |
| Street Address |
4240 TIMBERLANE DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29205-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462241 | New Life Home Care LLC | In Home Supportive Care | 4423 Ste. D, Devine Street, Columbia, SC 29205 | 2019-11-25 |
| 1689144222 | Jessica M Jarman LLC | Counselor | 610 Holly St., Columbia, SC 29205 | 2018-11-27 |
| 1073083648 | Christopher James Troyer | Psychologist | 2805 Millwood Ave., Columbia, SC 29205 | 2018-11-27 |
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| 1699126136 | Steven Matthew Ferrufino | Counselor | 417 S Edisto Ave, Columbia, SC 29205 | 2016-06-27 |
| 1619351863 | Deangela Lenore Delaney | Nurse Practitioner | 2739 Laurel Street, Columbia, SC 29205 | 2015-07-17 |
| 1548677131 | Maegan Elizabeth Dean | Pharmacist | 2708 Rosewood Drive, Columbia, SC 29205 | 2014-07-16 |
| 1144561465 | Abby Habicht | Speech-Language Pathologist | 705 Maple St., H 102, Columbia, SC 29205 | 2013-03-12 |
| 1750630562 | Pamela B. Robertson | Pharmacist | 3312 Devine Street, Columbia, SC 29205 | 2012-09-07 |
| 1609124023 | Kristen Anne Tice | Dietitian, Registered | 1029 Deerwood Street, Columbia, SC 29205 | 2012-08-15 |
| Find all providers in zip 29205 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205175452 | S.c Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 2112 Chandler Ave, Columbia, SC 29210-6204 | 2013-02-07 |
| 1083755615 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 1600 Shivers Rd, Columbia, SC 29210-5429 | 2007-02-08 |
| 1194866723 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 1741 Shivers Rd, Columbia, SC 29210-5413 | 2007-02-08 |
| 1710027644 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 5300 Broad River Rd, Columbia, SC 29212-3539 | 2007-02-08 |
| 1093853822 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 1440 Broad River Rd, Columbia, SC 29210-7643 | 2007-02-02 |
| 1124164355 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 4230 Timberlane Dr, Columbia, SC 29205-4941 | 2007-01-29 |
| 1801942511 | Lutheran Family Services In The Carolinas | Residential Treatment Facility, Emotionally Disturbed Children | 4210 Mikell Ln, Columbia, SC 29205-4225 | 2007-01-26 |
| 1851349567 | Carolina Boys Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1303 Sycamore Ave, Columbia, SC 29203-4252 | 2006-05-05 |
| 1639415920 | Individual | Residential Treatment Facility, Emotionally Disturbed Children | 1725 Shivers Rd, Columbia, SC 29210-5413 | 2012-12-14 |
| 1902067184 | Boys & Girls Town of Missouri | Residential Treatment Facility, Emotionally Disturbed Children | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2008-06-20 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on LUTHERAN FAMILY SERVICES IN THE CAROLINAS.
| 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.