CAROLINA AUTISM SUPPORTED LIVING SERVICES – NPI #1043394976
Residential Treatment Facility, Emotionally Disturbed Children

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.

CAROLINA AUTISM SUPPORTED LIVING SERVICES is a residential treatment facility located in CHARLESTON, SC. NPPES has assigned the NPI number 1043394976 to CAROLINA AUTISM SUPPORTED LIVING SERVICES on October 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CAROLINA AUTISM SUPPORTED LIVING SERVICES is also known by the name CAROLINA AUTISM. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 18 years ago on May 07, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROLINA AUTISM SUPPORTED LIVING SERVICES below.

NPI Profile for
CAROLINA AUTISM SUPPORTED LIVING SERVICES

NPI Number
1043394976
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAROLINA AUTISM SUPPORTED LIVING SERVICES
Other Name: CAROLINA AUTISM
Primary location
4 CARRIAGE LN STE 302
CHARLESTON, SC 29407-6050
Phone: (843) 573-1905 Fax: (843) 573-1926
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PHIL BLEVINS
EXECUTIVE DIRECTOR
Phone: (843) 573-1905
Updated
Identifiers

Identifiers for CAROLINA AUTISM SUPPORTED LIVING SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSC894MXH
MEDICAIDSCEXG302
MEDICAIDSC905MXH
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.