Sleepy Hollow Youth, Inc.
LBN: Sleepy Hollow Youth, Inc.
Sleepy Hollow Youth, Inc. is an health care organization with primary practice located at 122 Jo Furr Ln , Summerville SC 29485-7709. 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.
Sleepy Hollow Youth, Inc. can be contacted via phone (843) 851-8028, or through Spateholts, Jay A. via phone (843) 200-4268.
Contact Information
Primary practice address
122 Jo Furr Ln
Summerville SC 29485-7709
Phone: (843) 851-8028
Fax: (843) 572-6418
Website:
Authorized official contact:
Name: Spateholts, Jay A. Master of Education (MED)
Phone: (843) 200-4268
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | SR0008207001GH | South Carolina |
Profile Details
| NPI number | 1093771719 |
|---|---|
| LBN Legal business name | Sleepy Hollow Youth, Inc. |
| DBA Doing business as | |
| Authorized official | Spateholts, Jay A. Master of Education (MED) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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 | 1093771719 | NPPES |
| South Carolina | MEDICAID | 925 MXH |
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