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 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is 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:
Map and Directions
Authorized official contact:
Name: Duncan, Barbara Kelley
Phone: (843) 266-5222

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X SR-0008037001-CCI South Carolina

Profile Details

NPI number 1366503443
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 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366503443 NPPES
South Carolina MEDICAID 992MXH

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