CAROLINA BOYS HOME INC


Address: 1303 Sycamore Ave, Columbia, SC 29203-4252
Phone: 8037867100

CAROLINA BOYS HOME INC (NPI# 1851349567) 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) 1851349567
Entity Type Organization
Organization Name CAROLINA BOYS HOME INC
Practice Address 1303 Sycamore Ave
Columbia
SC 29203-4252
Mailing Address Po Box 3355
Columbia
SC 29230-3355
Practice Telephone 8037867100
Practice Fax Number 8033330033
Mailing Telephone 8037867100
Mailing Fax Number 8033330033
Enumeration Date 2006-05-05
Last Update Date 2020-08-22
Authorized Official Name MS. JANNIE M NELSON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8037867100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children SR0001731001GH SC Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
SC 911MXH 05

Office Location

Street Address 1303 SYCAMORE AVE
City COLUMBIA
State SC
Zip Code 29203-4252

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475284 Matthew Leon Brigmon Surgery 2 Richland Medical Park, Suite 300, Columbia, SC 29203 2020-10-23
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1790302362 Klariz Teves Tucker Internal Medicine Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-30
1811514482 Esther Ruth Swan Psychiatry & Neurology Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1447877014 Jordan Kaitlyn Merrels Psychiatry & Neurology Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1306463187 Jessica Leigh Watson Psychiatry & Neurology Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-29
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
1891312799 Kathryn Victoria Steverson Psychiatry & Neurology Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-26
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205175452 S.c Department of Juvenile Justice Residential Treatment Facility, Emotionally Disturbed Children 2112 Chandler Ave, Columbia, SC 29210-6204 2013-02-07
1083755615 South Carolina Department of Juvenile Justice Residential Treatment Facility, Emotionally Disturbed Children 1600 Shivers Rd, Columbia, SC 29210-5429 2007-02-08
1194866723 South Carolina Department of Juvenile Justice Residential Treatment Facility, Emotionally Disturbed Children 1741 Shivers Rd, Columbia, SC 29210-5413 2007-02-08
1710027644 South Carolina Department of Juvenile Justice Residential Treatment Facility, Emotionally Disturbed Children 5300 Broad River Rd, Columbia, SC 29212-3539 2007-02-08
1093853822 Lutheran Family Services In The Carolinas Residential Treatment Facility, Emotionally Disturbed Children 1440 Broad River Rd, Columbia, SC 29210-7643 2007-02-02
1124164355 Lutheran Family Services In The Carolinas Residential Treatment Facility, Emotionally Disturbed Children 4230 Timberlane Dr, Columbia, SC 29205-4941 2007-01-29
1215073440 Lutheran Family Services In The Carolinas Residential Treatment Facility, Emotionally Disturbed Children 4240 Timberlane Dr, Columbia, SC 29205-4941 2007-01-29
1801942511 Lutheran Family Services In The Carolinas Residential Treatment Facility, Emotionally Disturbed Children 4210 Mikell Ln, Columbia, SC 29205-4225 2007-01-26
1639415920 Individual Residential Treatment Facility, Emotionally Disturbed Children 1725 Shivers Rd, Columbia, SC 29210-5413 2012-12-14
1902067184 Boys & Girls Town of Missouri Residential Treatment Facility, Emotionally Disturbed Children 4304 S Bearfield Rd, Columbia, MO 65201-9557 2008-06-20
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Competitor

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City COLUMBIA
Zip Code 29203

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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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