PINELANDS GROUP HOMES, INC
NPI 1710944087
Residential Treatment Facility, Emotionally Disturbed Children in Summerville, SC

NPI Status: Active since April 28, 2006

Contact Information

201 E LUKE AVE
SUMMERVILLE, SC
ZIP 29483
Phone: (843) 851-0079
Fax: (843) 873-1002

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About PINELANDS GROUP HOMES, INC

This page provides the complete NPI Profile along with additional information for Pinelands Group Homes, Inc, a provider established in Summerville, South Carolina operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1710944087 assigned on April 2006. The practitioner's primary taxonomy code is 322D00000X with license number SR-0008195001-CC1 (SC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ms. Joette Kizer (Executive Director)

NPI
1710944087
Provider Name
PINELANDS GROUP HOMES, INC
Entity Type
Organization
Location Address
201 E LUKE AVE SUMMERVILLE, SC 29483
Location Phone
(843) 851-0079
Location Fax
(843) 873-1002
Mailing Address
201 E LUKE AVE SUMMERVILLE, SC 29483
Mailing Phone
(843) 851-0079
Mailing Fax
(843) 873-1002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2006
Last Update Date
08-22-2020
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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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
SR-0008195001-CC1
License State
SC
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. JOETTE KIZER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(843) 851-0079

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
927MXHMEDICAID (05)SC 

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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.
1710944087
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27201848016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 4 + 8 + 0 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1710944087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003128182PINELANDS GROUP HOME
Organization
Community/Behavioral Health201 E LUKE AVE
SUMMERVILLE, SC 29483
(843) 851-0079
1770890485PINELANDS GROUP HOME, INC.
Organization
Psychiatric Residential Treatment Facility201 E LUKE AVE
SUMMERVILLE, SC 29483
(843) 851-0079
1225193550DR. STEPHANIE GAIL THOMAS MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)201 E LUKE AVE
SUMMERVILLE, SC 29483
(843) 851-0079

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710944087, enumerated in the NPI registry as an "organization" on April 28, 2006

The provider is located at 201 E Luke Ave Summerville, Sc 29483 and the phone number is (843) 851-0079

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 April 28, 2006. 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.