Windwood Farm Home in Awendaw - Residential Treatment Facility, Emotionally Disturbed Children

Windwood Farm Home - NPI 1619047974

Windwood Farm Home is a Residential Treatment Facility, Emotionally Disturbed Children in Awendaw, South Carolina. Windwood Farm Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Windwood Farm Home is 1619047974. The last update date is 2020-08-22.

Windwood Farm Home's current location address is 4857 Windwood Farm Rd, Awendaw, South Carolina. You can contact this provider via phone number 8438845342 and fax number 8438841287. The mailing address for Windwood Farm Home is 4857 Windwood Farm Rd, Awendaw, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Windwood Farm Home
Address 4857 Windwood Farm Rd, Awendaw, South Carolina
Phone Number 8438845342
Fax Number 8438841287
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Mckelvey Deborah
Telephone Number 8438845342

NPI Number Detail

NPI Number 1619047974
Provider Enumeration Date 2006-11-08
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4857 Windwood Farm Rd
City Awendaw
State South Carolina (SC)
Post Code 294295951
Phone Number 8438845342
Fax Number 8438841287

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No SR0008106001
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
965MXH SC --

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FAQs about Windwood Farm Home

What is the unique identification code assigned to Windwood Farm Home by the Centers for Medicare & Medicaid Services?

The Windwood Farm Home has been issued the NPI (National Provider Identifier) 1619047974. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Windwood Farm Home is located?

The Windwood Farm Home is situated at the following address: 4857 Windwood Farm Rd, Awendaw, SC, 294295951.

What is Windwood Farm Home's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Windwood Farm Home is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.

On what date did Windwood Farm Home receive its 1619047974 assignment from the Centers for Medicare & Medicaid Services?

The Windwood Farm Home was assigned its 1619047974 on 2006-11-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Windwood Farm Home's information last updated?

The Windwood Farm Home's information was last updated on 2020-08-22.

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