CAMP WHITE PINES I
NPI 1578604195
Residential Treatment Facility, Emotionally Disturbed Children in Jonesville, SC

NPI Status: Active since February 08, 2007

Contact Information

742 T BISHOP RD
JONESVILLE, SC
ZIP 29353
Phone: (864) 674-0458
Fax: (864) 674-0460

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  • Organization
  • Residential Treatment Facility, Emotiona...
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About CAMP WHITE PINES I

This page provides the complete NPI Profile along with additional information for Camp White Pines I, a provider established in Jonesville, South Carolina operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1578604195 assigned on February 2007. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Camp White Pines I. The authorized official of this NPI record is Ms. Mia L Richardson (Medicaid Project Administrator)

NPI
1578604195
Provider Legal Name
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE
Other Organization Name
CAMP WHITE PINES I
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
742 T BISHOP RD JONESVILLE, SC 29353
Location Phone
(864) 674-0458
Location Fax
(864) 674-0460
Mailing Address
PO BOX 21069 COLUMBIA, SC 29221
Mailing Phone
(803) 896-4751
Mailing Fax
(864) 674-0460
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2007
Last Update Date
08-22-2020
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Camp White Pines I is a medicare supplier with PTAN 20428499 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Heat & Cold Applications or Canes and/or Crutches or Walkers or Ostomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Parenteral Nutrients or Parenteral Equipment and/or Supplies or Nebulizer Equipment and/or Supplies or Surgical Dressings.

Location Map

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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. MIA L RICHARDSON

Authorized Official Title
MEDICAID PROJECT ADMINISTRATOR
Authorized Official Phone
(803) 896-4751

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DJJ050MEDICAID (05)SC 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20428499
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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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.
1578604195
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251481208118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 2 + 0 + 8 + 1 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1578604195 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043520646AMIKIDS
Organization
Residential Treatment Facility, Emotionally Disturbed Children742 T BISHOP RD
JONESVILLE, SC 29353
(864) 674-0458
1053451948SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE
Organization
Residential Treatment Facility, Emotionally Disturbed Children742 T BISHOP RD
JONESVILLE, SC 29353
(864) 674-0458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578604195, enumerated in the NPI registry as an "organization" on February 08, 2007

The provider is located at 742 T Bishop Rd Jonesville, Sc 29353 and the phone number is (864) 674-0458

This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 08, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.