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CAROLINA AUTISM
NPI 1043394976
Residential Treatment Facility, Emotionally Disturbed Children in Charleston, SC

Active since October 25, 2006
4 CARRIAGE LN STE 302, CHARLESTON, SC 29407(843) 573-1905(843) 573-1926 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolina Autism NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA AUTISM (NPI 1043394976) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Charleston, South Carolina and active in the NPI registry since October 2006. The organization lists Phil Blevins, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1043394976
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameCAROLINA AUTISM SUPPORTED LIVING SERVICES
Location Address4 CARRIAGE LN STE 302Charleston, SC 29407-6050
Mailing Address4 Carriage Ln Ste 302Charleston, SC 29407-6050 · (843) 573-1905 · Fax (843) 573-1926
Phone(843) 573-1905
Fax(843) 573-1926
Organization SubpartNo
Authorized OfficialPhil BlevinsExecutive Director · (843) 573-1905
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 7, 2008
✔ NPI 1043394976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
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.
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
4 CARRIAGE LN STE 302, Charleston, SC 29407
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Other Names 1

Other NameCarolina Autism

Other Identifiers 3

MedicaidEXG302SC
Medicaid894MXHSC
Medicaid905MXHSC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHARLOTTE KOSTER M.ED.
Counselor
4 CARRIAGE LN STE 302
CHARLESTON, SC 29407
Charleston County (843) 573-1905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Autism Supported Living Services's NPI number?

The NPI number for Carolina Autism Supported Living Services is 1043394976. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is also known as Carolina Autism.

Where is Carolina Autism Supported Living Services located?

Carolina Autism Supported Living Services is located at 4 Carriage Ln Ste 302, Charleston, SC 29407. The listed phone number is (843) 573-1905.

What is Carolina Autism Supported Living Services's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Carolina Autism Supported Living Services was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.