PINELANDS GROUP HOME, INC. (NPI# 1770890485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770890485 |
| Entity Type | Organization |
| Organization Name | PINELANDS GROUP HOME, INC. |
| Practice Address |
201 E Luke Ave Summerville SC 29483-6834 |
| Practice Telephone | 8438510079 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | MS. JOETTE KIZER (CEO) |
| Authorized Official Telephone | 8438510079 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | RTF-0026 | SC | Residential Treatment Facilities |
| Street Address |
201 E LUKE AVE |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-6834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710944087 | Pinelands Group Homes, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 201 E Luke Ave, Summerville, SC 29483-6834 | 2006-04-28 |
| 1003128182 | Pinelands Group Home | Community/Behavioral Health | 201 E Luke Ave, Summerville, SC 29483-6834 | 2010-07-06 |
| 1225193550 | Stephanie Gail Thomas | Psychiatry & Neurology | 201 E Luke Ave, Summerville, SC 29483-6834 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467485144 | Abs Lincs Sc Inc | Psychiatric Residential Treatment Facility | 225 Midland Parkway, Summerville, SC 29485 | 2006-07-08 |
| 1407386923 | Abs Lincs Sc, Inc. | Psychiatric Residential Treatment Facility | 225 Midland Pkwy, Summerville, SC 29485-8104 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669902979 | Palmetto Pee Dee Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 601 Gregg Ave Ste B, Florence, SC 29501-4316 | 2017-06-19 |
| 1275821712 | Generations Residential Programs, Inc. | Psychiatric Residential Treatment Facility | 841 Dunklin Bridge Road, Fountain Inn, SC 29644-9725 | 2011-07-19 |
| 1083852511 | Excalibur Youth Services, LLC. | Psychiatric Residential Treatment Facility | 3683 S. Industrial Dr., Simpsonville, SC 29681 | 2009-01-21 |
| 1508017476 | Avalonia Group Homes, Inc. | Psychiatric Residential Treatment Facility | 404 Hampton Ave, Pickens, SC 29671-2608 | 2008-10-09 |
| 1508979956 | Palmetto Pee Dee Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 601 Gregg Ave., Florence, SC 29501-4316 | 2006-08-17 |
| 1114984812 | Thompson Child & Family Focus | Psychiatric Residential Treatment Facility | 234 Kings Mountain St, York, SC 29745-1131 | 2006-04-27 |
| 1770093684 | Social Remedies Inc | Psychiatric Residential Treatment Facility | 920 Berry St, Manning, SC 29102-2002 | 2017-10-05 |
| 1558891861 | Three Rivers Residential Treatment Midlands Campus | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170 | 2017-06-19 |
| 1821524067 | Three Rivers Midlands | Psychiatric Residential Treatment Facility | 200 Ermine Rd, West Columbia, SC 29170-2024 | 2017-05-09 |
| 1235401340 | Mari Asper Md, LLC | Psychiatric Residential Treatment Facility | 9263 Medical Plaza Dr, Suite A, North Charleston, SC 29406-7109 | 2012-02-04 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
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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.