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LEROY BIBBS JR. MASTER'S DEGREE HUMA
NPI 1093393621
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Columbia, SC

Active since April 02, 2021
203 LONG RIDGE DR, COLUMBIA, SC 29229(215) 266-8158 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leroy Bibbs Jr. Master's Degree Huma NPPES

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

LEROY BIBBS JR. MASTER'S DEGREE HUMA (NPI 1093393621) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Columbia, South Carolina, licensed in Pennsylvania (27-0843094) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1093393621
Entity TypeIndividualMale
Primary Taxonomy320600000X
Provider Legal NameLEROY BIBBS JR.Credential: MASTER'S DEGREE HUMA
Location Address203 LONG RIDGE DRColumbia, SC 29229-9284
Mailing Address203 Long Ridge DrColumbia, SC 29229-9284 · (215) 266-8158
Phone(215) 266-8158
Sole ProprietorYes
Enumeration DateApril 2, 2021
NPPES CertifiedJanuary 19, 2021
✔ NPI 1093393621 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 PA · 27-0843094
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.

203 LONG RIDGE DR, Columbia, SC 29229
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Reviews for LEROY BIBBS JR. MASTER'S DEGREE HUMA

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Frequently Asked Questions

What is Leroy Bibbs's NPI number?

The NPI number assigned to this healthcare provider is 1093393621, enumerated as an "individual" on April 02, 2021.

Where is the provider located?

The provider is located at 203 LONG RIDGE DR COLUMBIA, SC 29229 and the phone number is (215) 266-8158.

What is the provider's specialty?

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.