GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD (NPI# 1699088070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699088070 |
| Entity Type | Organization |
| Organization Name | GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD |
| Practice Address |
1700 Ridge Road Greenville SC 29607-4730 |
| Mailing Address |
P.o. Box 17467 Greenville SC 29606-8467 |
| Practice Telephone | 8642881907 |
| Practice Fax Number | 8642974990 |
| Mailing Telephone | 8642881907 |
| Mailing Fax Number | 8642974990 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2015-12-28 |
| Authorized Official Name | MR. JOHN COCCIOLONE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8642881907 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 42G128 | SC | Residential Treatment Facilities |
| Street Address |
1700 RIDGE ROAD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-4730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669682035 | Janice Lynn Moore | Speech-Language Pathologist | 1700 Ridge Road, Greenville, SC 29607-4730 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922443290 | Paradigm, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Adams Blvd, Greenville, NC 27858-4815 | 2013-05-01 |
| 1740625078 | Paradigm, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1810 Mcclellan St, Greenville, NC 27834-5344 | 2013-04-30 |
| 1184976755 | Rha Health Services Nc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1793 Briley Road, Greenville, NC 27834-8904 | 2012-10-08 |
| 1619238839 | Paradigm, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1216 Masters Ln, Greenville, NC 27834-8054 | 2012-06-05 |
| 1174884399 | Paradigm, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4003 Old Pactolus Rd, Greenville, NC 27834-0701 | 2012-06-05 |
| 1750684742 | Angela F. Holmes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1421 Mary St, Greenville, MS 38701-7148 | 2010-12-13 |
| 1326243379 | Sweet Pea Family Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 871 Darrell Dr, Greenville, NC 27834-0840 | 2007-06-19 |
| 1912022070 | Height Home,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 E Fire Tower Rd, Greenville, NC 27858-6179 | 2007-03-20 |
| 1174658231 | Smithfield Commons Apartments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 551 Putnam Pike, Greenville, RI 02828-3017 | 2007-02-22 |
| 1033274691 | Rha Health Services Nc, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 323 King George Rd, Greenville, NC 27858-5617 | 2006-12-26 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
Please comment or provide details below to improve the information on GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD.
| 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.