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SOUTH CAROLINA MENTOR INC. NPI 1588823900


NPI Information

NPI: 1588823900
Provider Name: SOUTH CAROLINA MENTOR, INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3600 FOREST DRIVE
SUITE 100
COLUMBIA, SC
ZIP 29204
Phone: (803) 799-9025
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SOUTH CAROLINA MENTOR, INC. is a community based residential treatment facility mental illness in Columbia, SC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SOUTH CAROLINA MENTOR, INC. NPI is 1588823900. The provider is registered as an organization entity type.

The provider's business location address is:

3600 FOREST DRIVE
SUITE 100
COLUMBIA, SC
ZIP 29204
Phone: (803) 799-9025
Fax: (803) 931-8961

The provider's authorized official is Elaine Miller .
The authorized official title is State Director and has the following contact phone number (803) 799-9025.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 12/31/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing CareNo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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