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ALLENDALE BARNWELL COUNTIES DSN BOARD
NPI 1053659169
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Barnwell, SC

Active since January 24, 2013CLIA 42D2043375 · Waiver
20 PARK ST, BARNWELL, SC 29812(803) 259-7472(803) 259-1351 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Allendale Barnwell Counties Dsn Board NPPES

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

ALLENDALE BARNWELL COUNTIES DSN BOARD (NPI 1053659169) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Barnwell, South Carolina and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Robert Jones, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053659169
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameALLENDALE BARNWELL COUNTIES DSN BOARD
Location Address20 PARK STBarnwell, SC 29812-2900
Mailing AddressPo Box 556Barnwell, SC 29812-0556
Phone(803) 259-7472
Fax(803) 259-1351
Organization SubpartNo
Authorized OfficialRobert JonesExecutive Director · (803) 259-7472
Enumeration DateJanuary 24, 2013
✔ NPI 1053659169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in SC · CRC1524
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
20 PARK ST, Barnwell, SC 29812
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2043375

Allendale & Barnwell Counties Dsn Board · Williston, SC
Active · expires Jul 1, 2028
CLIA Number42D2043375
Laboratory TypeCrcf
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorBrent Parker
Laboratory Phone(803) 259-7472
Laboratory LocationAllendale & Barnwell Counties Dsn BoardBlack's Drive Residence 160 Black's Drive, Williston, SC 29853
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ALLENDALE AND BARNWELL COUNTIES DISABILITIES AND SPECIAL NEEDS BOARD
Early Intervention Provider Agency
20 PARK ST
BARNWELL, SC 29812
Barnwell County (803) 259-7472

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 Allendale Barnwell Counties Dsn Board's NPI number?

The NPI number for Allendale Barnwell Counties Dsn Board is 1053659169. It was assigned to this organization in the NPPES registry on January 24, 2013.

Where is Allendale Barnwell Counties Dsn Board located?

Allendale Barnwell Counties Dsn Board is located at 20 Park St, Barnwell, SC 29812. The listed phone number is (803) 259-7472.

What is Allendale Barnwell Counties Dsn Board's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Allendale Barnwell Counties Dsn Board hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2043375) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Allendale Barnwell Counties Dsn Board was last updated on January 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.