MRS. CHERYL RENEE GIBSON-DALTON (NPI# 1346634904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346634904 |
Entity Type | Individual |
Full Name | MRS. CHERYL RENEE GIBSON-DALTON |
Credential | PRESIDENT AND CEO |
Practice Address |
1231 Eutaw St Orangeburg SC 29115-3529 |
Practice Telephone | 8035316534 |
Practice Fax Number | 8035316534 |
Mailing Telephone | 8035316534 |
Mailing Fax Number | 8035316534 |
Enumeration Date | 2015-03-22 |
Last Update Date | 2015-03-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
RC1447 | SC | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | MEDICAID OSS | CRC1447 | 01 |
Street Address |
1231 EUTAW ST |
City | ORANGEBURG |
State | SC |
Zip Code | 29115-3529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
Find all providers in zip 29115 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710064381 | The Orangeburg Adult Daycare,inc | Custodial Care Facility | 1110 Whitman St, Orangeburg, SC 29115-6151 | 2006-11-01 |
1346729050 | Abundant Life Corp Inc | Custodial Care Facility | 260 Seminole Dr, Orangeburg, SC 29115-7622 | 2018-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548868417 | Williams Community Care Home | Custodial Care Facility | 7705 Richard St, Columbia, SC 29209-3733 | 2020-10-13 |
1497314256 | The Barr Transition Place, LLC | Custodial Care Facility | 2422 Martin Luther King Jr Hwy, Kingstree, SC 29556-6945 | 2019-06-06 |
1265953590 | Club Horizons of Charleston, LLC | Custodial Care Facility | 8088 Rivers Ave, North Charleston, SC 29406-9235 | 2017-06-27 |
1720534985 | Caring Hearts Companions, LLC | Custodial Care Facility | 1185 Blanton Rd, Sharon, SC 29742-8752 | 2016-08-28 |
1295188001 | Professional Cleaning & Care Services LLC | Custodial Care Facility | 620 16th Ave S, Unit 89, Surfside Beach, SC 29575-3069 | 2016-07-16 |
1801241971 | Palmetto Senior Care Shandon | Custodial Care Facility | 1100 Shirley St Ste 1, Columbia, SC 29205-1370 | 2016-04-26 |
1447648001 | Carriage House Senior Living of Hartsville | Custodial Care Facility | 1131 E Home Ave, Hartsville, SC 29550-3411 | 2015-01-06 |
1881012177 | Joshua's Foundation Inc. | Custodial Care Facility | 388 Elbow Circle, Ridgeway, SC 29130-0035 | 2014-04-03 |
1427480193 | Step By Step To Nursing | Custodial Care Facility | 237 Chartwell Rd, Columbia, SC 29210-5834 | 2013-08-05 |
1013263433 | Hannah Residential Manor, Inc. | Custodial Care Facility | 3750 Sheminally Rd, Pamplico, SC 29583-5700 | 2012-08-03 |
Find all providers with the same taxonomy |
City | ORANGEBURG |
Zip Code | 29115 |
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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.