Carolina Autism

LBN: Carolina Autism Supported Living Services
Carolina Autism is an health care organization with primary practice located at 4 Carriage Ln Ste 302 , Charleston SC 29407-6050. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Carolina Autism Supported Living Services can be contacted via phone (843) 573-1905, or through Blevins, Phil via phone (843) 573-1905.

Contact Information

Primary practice address
4 Carriage Ln Ste 302 Charleston SC 29407-6050
Phone: (843) 573-1905
Fax: (843) 573-1926
Website:
Map and Directions
Authorized official contact:
Name: Blevins, Phil Registered Nurse (RN)
Phone: (843) 573-1905

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X South Carolina

Profile Details

NPI number 1043394976
LBN Legal business name Carolina Autism Supported Living Services
DBA Doing business as Carolina Autism
Authorized official Blevins, Phil Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated May 7th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043394976 NPPES
South Carolina MEDICAID 905MXH
South Carolina MEDICAID EXG302
South Carolina MEDICAID 894MXH

Popular Providers