EPWORTH CHILDREN'S HOME (NPI# 1952947848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952947848 |
| Entity Type | Organization |
| Organization Name | EPWORTH CHILDREN'S HOME |
| Practice Address |
3201 Trenholm Rd Columbia SC 29204-3371 |
| Mailing Address |
Po Box 50466 Columbia SC 29250-0466 |
| Practice Telephone | 8032567394 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | TEDDI T GARRICK (HR ADMIN ASSISTANT) |
| Authorized Official Telephone | 8032567394 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility | ||
| Y | 253J00000X | Foster Care Agency | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 303 Central Ave, Summerville, SC 294835901 | 8032567394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598388225 | Epworth Children's Home | Early Intervention Provider Agency | 2900 Millwood Ave, Columbia, SC 29205-1359 | 2020-05-28 |
| 1003093733 | Epworth Children's Home | Early Intervention Provider Agency | 2900 Millwood Ave, Columbia, SC 29205-1359 | 2008-01-24 |
| Street Address |
3201 TRENHOLM RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-3371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043357973 | Keith J Jones | Social Worker | 3201 Trenholm Rd, Columbia, SC 29204-3371 | 2007-01-31 |
| 1285887950 | Patricia Brandon | Counselor | 3201 Trenholm Rd, Columbia, SC 29204-3371 | 2008-10-28 |
| 1184761082 | Shannon Michelle Morales | Social Worker | 3201 Trenholm Rd, Columbia, SC 29204-3371 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336398148 | There's Room, Incorporated | Foster Care Agency | 2018 Taylor Street, Suite E, Columbia, SC 29204 | 2008-09-17 |
| 1790736361 | Family Preservation Community Services | Foster Care Agency | 3710 Landmark Dr, Suite 307, Columbia, SC 29204-4062 | 2006-05-16 |
| 1154611606 | There's Room, Incorporated | Foster Care Agency | 1411 Barnwell St, Columbia, SC 29201-3566 | 2011-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174047039 | The Art of Living Daily, Inc. | Foster Care Agency | 100 Acl Ave., Cheraw, SC 29520-2952 | 2017-08-01 |
| 1063862811 | Trent Hill Center for Children and Families | Foster Care Agency | 706 W College Ave, Hartsville, SC 29550-4424 | 2016-06-13 |
| 1255772752 | Pendleton Place Inc | Foster Care Agency | 1133 Pendleton St, Greenville, SC 29601-2317 | 2013-07-12 |
| 1306280441 | Children's Attention Home | Foster Care Agency | 1149 Edgemont St, Rock Hill, SC 29730-4971 | 2013-04-19 |
| 1902149545 | New Destiny Center Inc | Foster Care Agency | 406 Cal Causeway Rd, Tillman, SC 29943-2940 | 2013-04-02 |
| 1851903561 | Pathways Human Services of South Carolina, LLC | Foster Care Agency | 2320 E North St Ste Aa, Greenville, SC 29607-1272 | 2020-08-24 |
| 1578175287 | Pathways Human Services of South Carolina, LLC | Foster Care Agency | 895 N Fraser St, Georgetown, SC 29440-3356 | 2020-08-24 |
| 1306193123 | Alternative Youth Services, Inc. | Foster Care Agency | 1350 Cleveland St, Suite B, Greenville, SC 29607-2440 | 2012-08-10 |
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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.