Djj Greenville Group Home
LBN: South Carolina Department Of Juvenile Justice
Djj Greenville Group Home is an health care organization with primary practice located at 423 Vardry St , Greenville SC 29601-3307. 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.
South Carolina Department Of Juvenile Justice can be contacted via phone (864) 233-5574, or through Richardson, Mia L via phone (803) 896-4751.
Contact Information
Primary practice address
423 Vardry St
Greenville SC 29601-3307
Phone: (864) 233-5574
Fax: (864) 233-7526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X |
Profile Details
| NPI number | 1710027578 |
|---|---|
| LBN Legal business name | South Carolina Department Of Juvenile Justice |
| DBA Doing business as | Djj Greenville Group Home |
| Authorized official | Richardson, Mia L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| 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 | 1710027578 | NPPES |
| South Carolina | MEDICAID | DJJ058 |
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