Carolina Youth Development Center
LBN: Charleston Orphan House, Inc
Carolina Youth Development Center is an health care organization with primary practice located at 5055 Lackawanna Blvd , North Charleston SC 29405-4529. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty.
Charleston Orphan House, Inc can be contacted via phone (843) 266-5200, or through Duncan, Barbara Kelley via phone (843) 266-5222.
Contact Information
Primary practice address
5055 Lackawanna Blvd
North Charleston SC 29405-4529
Phone: (843) 266-5200
Fax: (843) 266-5201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | SR-0008098001-CCI | South Carolina |
Profile Details
| NPI number | 1306914056 |
|---|---|
| LBN Legal business name | Charleston Orphan House, Inc |
| DBA Doing business as | Carolina Youth Development Center |
| Authorized official | Duncan, Barbara Kelley |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306914056 | NPPES |
| South Carolina | MEDICAID | 938MXH |
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