Broadstep Academy- South Carolina Inc

LBN: Broadstep Academy- South Carolina Inc
Broadstep Academy- South Carolina Inc is an health care organization with primary practice located at 1370 N Williamsburg County Hwy , Kingstree SC 29556-7027. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty. Broadstep Academy- South Carolina Inc can be contacted via phone (843) 201-4888, or through Coleman, Kedrian via phone (919) 709-0197.

Contact Information

Primary practice address
1370 N Williamsburg County Hwy Kingstree SC 29556-7027
Phone: (843) 201-4888
Fax: (843) 201-4895
Website:
Map and Directions
Authorized official contact:
Name: Coleman, Kedrian
Phone: (919) 709-0197

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X RTF0023 South Carolina
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X RTF0023 South Carolina

Profile Details

NPI number 1124260427
LBN Legal business name Broadstep Academy- South Carolina Inc
DBA Doing business as
Authorized official Coleman, Kedrian
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2009
Last updated Aug 25th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124260427 NPPES
South Carolina MEDICAID 936MXH
South Carolina MEDICAID 883MXH

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