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CHARLES LEA CENTER NPI 1689120503


NPI Information

NPI: 1689120503
Provider Name: CHARLES LEA CENTER
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 42D2005418

Address:
195 BURDETTE ST
SPARTANBURG, SC
ZIP 29307
Phone: (864) 562-2222
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CHARLES LEA CENTER is a day training developmentally disabled services in Spartanburg, SC. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. CHARLES LEA CENTER NPI is 1689120503. The provider is registered as an organization entity type.

The provider's business location address is:

195 BURDETTE ST
SPARTANBURG, SC
ZIP 29307-003
Phone: (864) 562-2222

The provider's authorized official is Gerald R. Bernard .
The authorized official title is Executive Director and has the following contact phone number (864) 562-2222.

The CLIA number assigned to this NPI record is 42D2005418 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2016 and was last updated on 6/12/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesSOUTH CAROLINANo
3251C00000XDay Training, Developmentally Disabled ServicesSOUTH CAROLINAYes

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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