SIDNETRICE HANKERSON (NPI# 1578966040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578966040 |
Entity Type | Individual |
Full Name | SIDNETRICE HANKERSON |
Practice Address |
1946 Brookstone Way 107 Rock Hill SC 29732-2679 |
Practice Telephone | 7042810416 |
Mailing Telephone | 7042810416 |
Enumeration Date | 2014-09-29 |
Last Update Date | 2014-09-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
Street Address |
1946 BROOKSTONE WAY 107 |
City | ROCK HILL |
State | SC |
Zip Code | 29732-2679 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144586256 | A Touch of Care Hands | Home Health | 1946 Brookstone Way, Rock Hill, SC 29732-2679 | 2012-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
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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 |
---|---|---|---|---|
1235797812 | Wise Care Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1435 Deberry Blvd, Florence, SC 29501-5601 | 2019-05-30 |
1366937021 | Doors To Freedom | Residential Treatment Facility, Emotionally Disturbed Children | 1317m N Main St # 263, Summerville, SC 29483-7307 | 2018-06-26 |
1205297967 | Potter's House Palmetto, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 104 E Berry St, Lincolnville, SC 29485-7204 | 2016-03-09 |
1710342522 | New Directions | Residential Treatment Facility, Emotionally Disturbed Children | 3685 Travertine Dr, Lancaster, SC 29720-6934 | 2015-12-21 |
1609219906 | Billie Hardee Home for Boys | Residential Treatment Facility, Emotionally Disturbed Children | 1120 Timmonsville Hwy, Darlington, SC 29532-9998 | 2013-04-17 |
1205175452 | S.c Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 2112 Chandler Ave, Columbia, SC 29210-6204 | 2013-02-07 |
1477820504 | Cherokee Creek Boys School | Residential Treatment Facility, Emotionally Disturbed Children | 198 Cooper Rd, Westminster, SC 29693-3309 | 2011-11-17 |
1124260427 | Broadstep Academy-sc, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1370 N Williamsburg County Hwy, Kingstree, SC 29556-7027 | 2009-04-01 |
1235325242 | New Beginnings of Charleston Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 716 W Front St, Lincolnville, SC 29485-7112 | 2007-09-24 |
1639399553 | Orangeburg Attention Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 155 Wall St Rm 16, Orangeburg, SC 29115-5404 | 2007-04-26 |
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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.