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SONS AND DAUGHTERS OF LIGHT LLC NPI 1871361915


NPI Information

NPI: 1871361915
Provider Name: SONS AND DAUGHTERS OF LIGHT LLC
Classification: Day Training/Habilitation Specialist - 373H00000X
Entity Type: Organization
Address:
78 FOLLY ROAD BLVD STE B9 1177
CHARLESTON, SC
ZIP 29407
Phone: (854) 832-3603
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SONS AND DAUGHTERS OF LIGHT LLC is a day training habilitation specialist in Charleston, SC. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. SONS AND DAUGHTERS OF LIGHT LLC NPI is 1871361915. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

78 FOLLY ROAD BLVD STE B9 1177
CHARLESTON, SC
ZIP 29407-551
Phone: (854) 832-3603

The provider's authorized official is Brian Leneau .
The authorized official title is Owner and has the following contact phone number (706) 840-6302.

The enumeration date for this NPI number is 12/18/2023 and was last updated on 12/18/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3253Z00000XIn Home Supportive CareNo
4373H00000XDay Training/Habilitation SpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PC2468MEDICAIDSOUTH CAROLINA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.