Sleepy Hollow Youth, Inc. in Summerville - Residential Treatment Facility, Emotionally Disturbed Children
Sleepy Hollow Youth, Inc. - NPI 1093771719
Sleepy Hollow Youth, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Summerville, South Carolina. Sleepy Hollow Youth, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Sleepy Hollow Youth, Inc. is 1093771719. The last update date is 2020-08-22.
Sleepy Hollow Youth, Inc.'s current location address is 122 Jo Furr Ln, Summerville, South Carolina. You can contact this provider via phone number 8438518028 and fax number 8435726418. The mailing address for Sleepy Hollow Youth, Inc. is 122 Jo Furr Ln, Summerville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sleepy Hollow Youth, Inc. |
|---|---|
| Address | 122 Jo Furr Ln, Summerville, South Carolina |
| Phone Number | 8438518028 |
| Fax Number | 8435726418 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Spateholts A. Jay |
| Credentials | M.ED. |
| Telephone Number | 8432004268 |
NPI Number Detail
| NPI Number | 1093771719 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 122 Jo Furr Ln |
|---|---|
| City | Summerville |
| State | South Carolina (SC) |
| Post Code | 294857709 |
| Phone Number | 8438518028 |
| Fax Number | 8435726418 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | SR0008207001 |
|
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 |
|---|---|---|---|
| 925 MXH | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Sleepy Hollow Youth, Inc. by the Centers for Medicare & Medicaid Services?
The Sleepy Hollow Youth, Inc. has been assigned the NPI (National Provider Identifier) 1093771719 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Sleepy Hollow Youth, Inc.'s facilities are situated?
The facilities of Sleepy Hollow Youth, Inc. are physically located at the following address: 122 Jo Furr Ln, Summerville, SC, 294857709.
What is the Sleepy Hollow Youth, Inc.'s specialty and taxonomy code?
The Sleepy Hollow Youth, Inc.'s specialty is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093771719 to Sleepy Hollow Youth, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1093771719 to Sleepy Hollow Youth, Inc. on 2006-04-21.
As of what date was the information regarding Sleepy Hollow Youth, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sleepy Hollow Youth, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY