PENDLETON PLACE INC
NPI 1255772752
Foster Care Agency in Greenville, SC

NPI Status: Active since July 12, 2013

Contact Information

1133 PENDLETON ST
GREENVILLE, SC
ZIP 29601
Phone: (864) 467-3650
Fax: (864) 467-3645

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  • Organization
  • Foster Care Agency
  • CLIA Number: 42D2275391
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 01-19-2025

About PENDLETON PLACE INC

This page provides the complete NPI Profile along with additional information for Pendleton Place Inc, a provider established in Greenville, South Carolina operating as a Foster Care Agency. The healthcare provider is registered in the NPI registry with number 1255772752 assigned on July 2013. The practitioner's primary taxonomy code is 253J00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Laurie Rovin Lmsw, Ma (Executive Director)

NPI
1255772752
Provider Name
PENDLETON PLACE INC
Entity Type
Organization
Location Address
1133 PENDLETON ST GREENVILLE, SC 29601
Location Phone
(864) 467-3650
Location Fax
(864) 467-3645
Mailing Address
PO BOX 10323 GREENVILLE, SC 29603
Mailing Phone
(864) 467-3650
Mailing Fax
(864) 467-3645
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2013
Last Update Date
07-12-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Foster Care Agency

Taxonomy Code
253J00000X
Type
Agencies
License State
SC
Taxonomy Description
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LAURIE ROVIN LMSW, MA

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(864) 516-1225

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2275391
Facility Type
Federally Qualified Health Center
Certificate Effective Date
January 20, 2023
Certificate Expiration Date
January 19, 2025
Laboratory Director
DR. DEANNA COTTER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Pendleton Place Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255772752
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051474710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 7 + 4 + 7 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1255772752 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376183855NEW HORIZON FAMILY HEALTH SERVICES, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1133 PENDLETON ST
GREENVILLE, SC 29601
(864) 729-8330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255772752, enumerated in the NPI registry as an "organization" on July 12, 2013

The provider is located at 1133 Pendleton St Greenville, Sc 29601 and the phone number is (864) 467-3650

This medical organization specializes in Foster Care Agency with taxonomy code 253J00000X

The provider's CLIA number is 42D2275391 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on July 12, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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