VITAL AGING OF WILLIAMSBURG COUNTY, INC. (NPI# 1306971502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306971502 |
Entity Type | Organization |
Organization Name | VITAL AGING OF WILLIAMSBURG COUNTY, INC. |
Practice Address |
501 North Longstreet Street Kingstree SC 29556 |
Mailing Address |
501 North Longstreet Street P.o. Box 450 Kingstree SC 29556 |
Practice Telephone | 8433545496 |
Practice Fax Number | 8543543107 |
Mailing Telephone | 8433545496 |
Mailing Fax Number | 8543543107 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JUDY B ELDER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8433545496 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332U00000X | Home Delivered Meals | SC | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | IVR PIN | 4010 | 01 |
Street Address |
501 NORTH LONGSTREET STREET |
City | KINGSTREE |
State | SC |
Zip Code | 29556 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689198996 | April Wilson | Home Health Aide | 706 Sandy Bay Rd, Kingstree, SC 29556 | 2017-07-28 |
1588000657 | Jennifer Moore Lamb | Registered Nurse | 500 North Academy St, Building K, Kingstree, SC 29556 | 2013-05-16 |
1619227014 | Hallie Mcnair Dubose | Pharmacist | 120 North Longstreet St, Kingstree, SC 29556 | 2012-09-12 |
1699969733 | Black River Healthcare, Inc. | Obstetrics & Gynecology | 500 Thurgood Marshall Boulevard, Suite A, Kingstree, SC 29556 | 2007-08-31 |
1457578486 | Dawkins Medical Transport | Ambulance | 89 Drylog Avenue, Kingstree, SC 29556 | 2007-04-19 |
1356489579 | Harry Wells Floyd | General Practice | 500 Thurgood Marshall Blvd, Suite F, Kingstree, SC 29556 | 2007-02-01 |
1306995782 | Joann Conyers Lockhart | Health Educator | 500 Academy Street, Kingstree, SC 29556 | 2007-01-09 |
1497825723 | The Youth Academy Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 237 Lela Harrison Road, Kingstree, SC 29556 | 2006-11-08 |
1427151109 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 120 N Longst St, Kingstree, SC 29556 | 2006-09-07 |
1497798599 | Black River Healthcare, Inc. | Clinic/Center | 520 Thurgood Marshall Blvd., Suite B, Kingstree, SC 29556 | 2006-06-14 |
Find all providers in zip 29556 |
Taxonomy Code | 332U00000X |
Grouping | Suppliers |
Classification | Home Delivered Meals |
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. |
Notes: Source: Code of Federal Regulations #45, Part 96, Appendix A, Uniform Definition of Services. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366694697 | Clarendon County Council On Aging | Home Delivered Meals | 206 S Church St, Manning, SC 29102-3116 | 2008-10-17 |
1306055488 | York County Council On Aging, Inc. | Home Delivered Meals | 917 Standard St., Rock Hill, SC 29730 | 2007-05-22 |
1154462596 | Berkeley Seniors Inc | Home Delivered Meals | 103 Gulledge St, Moncks Corner, SC 29461 | 2007-02-09 |
1720059561 | Dorchester Seniors, Inc. | Home Delivered Meals | 312 N Laurel St, Summerville, SC 29483-6543 | 2006-01-30 |
1568933919 | C&s Dynasty Wealth Builders LLC | Home Delivered Meals | 7801 Saint Andrews Rd, Irmo, SC 29063-2866 | 2018-12-11 |
1700079076 | Senior Services, Inc. of Chester County | Home Delivered Meals | 1197 Armory Rd, Chester, SC 29706 | 2007-08-21 |
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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.