HAMMOCKS ON THE EDISTO LLC (NPI# 1861045767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861045767 |
| Entity Type | Organization |
| Organization Name | HAMMOCKS ON THE EDISTO LLC |
| Practice Address |
2137 Hope Plantation Lane Jacksonboro SC 29452 |
| Mailing Address |
Po Box 130 Jacksonboro SC 29452-0130 |
| Practice Telephone | 8432769326 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | D. VIRGIL ALFARO (MEMBER/CO-OWNER) |
| Authorized Official Telephone | 8432769326 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1760493977 | 05 |
| Street Address |
2137 HOPE PLANTATION LANE |
| City | JACKSONBORO |
| State | SC |
| Zip Code | 29452 |
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972143485 | Landmark Recovery of Columbia LLC | Substance Abuse Rehabilitation Facility | 140 Flora Dr, Columbia, SC 29223-5814 | 2020-01-13 |
| 1457800310 | Summit Bhc Cameron, LLC | Substance Abuse Rehabilitation Facility | 5401 Netherby Ln Ste 402, North Charleston, SC 29420-7363 | 2016-10-03 |
| 1235686833 | Summit Bhc Cameron, LLC | Substance Abuse Rehabilitation Facility | 499 Wild Hearts Road, Cameron, SC 29030 | 2016-09-01 |
| 1659776664 | Katonya Alford | Substance Abuse Rehabilitation Facility | 505 N 5th Ave, Dillon, SC 29536-2815 | 2014-11-03 |
| 1609008713 | Steve Austin Facility of Charleston | Substance Abuse Rehabilitation Facility | 1383 Remount Rd, North Charleston, SC 29406-3345 | 2009-08-23 |
| 1063681591 | Givebac Incorporated | Substance Abuse Rehabilitation Facility | 1481 Ted Melton Rd, Chesterfield, SC 29709-6313 | 2008-02-28 |
| 1134158231 | Horry County Comm On Alcohol & Drug Abuse | Substance Abuse Rehabilitation Facility | 2404 Wise Rd, Conway, SC 29526-5521 | 2006-07-01 |
| 1770572448 | Tri-county County Commission On Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2005-10-17 |
| 1487653606 | Beaufort County Alcohol & Drug Abuse Department | Substance Abuse Rehabilitation Facility | 1905 Duke St, Ste 270, Beaufort, SC 29902-4403 | 2005-07-19 |
| 1861496234 | Department of Alcohol and Other Drug Abuse Services | Substance Abuse Rehabilitation Facility | 5 Charleston Center Dr, Charleston, SC 29401-1162 | 2005-06-13 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONBORO |
| Zip Code | 29452 |
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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.