SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE – NPI #1871633081
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.
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE is a residential treatment facility located in GEORGETOWN, SC. NPPES has assigned the NPI number 1871633081 to SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE on February 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE is also known by the name DJJ GEORGETOWN MARINE INST. 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 6 years ago on Aug 22, 2020. 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 SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE below.
NPI Profile for
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE
(more than 19 years ago)
HIGHWAY 17 SOUTH
GEORGETOWN, SC 29440 Phone: (864) 546-5478 Fax: (843) 546-5652
COLUMBIA, SC 29221-1069 Phone: (803) 896-4751 Fax: (803) 896-8473
MEDICAID PROJECT ADMINISTRATOR
Phone: (803) 896-4751
Identifiers for SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | SC | DJJ057 |
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.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children (Primary) |
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.