MRS. CHERYL RENEE GIBSON-DALTON


Address: 1231 Eutaw St, Orangeburg, SC 29115-3529
Phone: 8035316534

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
SC MEDICAID OSS CRC1447 01

Office Location

Street Address 1231 EUTAW ST
City ORANGEBURG
State SC
Zip Code 29115-3529

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City ORANGEBURG
Zip Code 29115

Improve Information

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Dataset Information

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.

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