SOUTHEASTERN CHILDREN'S HOME
NPI 1104977735
Residential Treatment Facility, Emotionally Disturbed Children in Duncan, SC

Active since January 12, 2007
115 CHILDRENS WAY, DUNCAN, SC 29334(864) 439-0259 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Children's Home NPPES

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

SOUTHEASTERN CHILDREN'S HOME (NPI 1104977735) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Duncan, South Carolina and active in the NPI registry since January 2007. The organization lists Robert C. Kimberly, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104977735
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSOUTHEASTERN CHILDREN'S HOME
Location Address115 CHILDRENS WAYDuncan, SC 29334-9769
Mailing Address115 Childrens WayDuncan, SC 29334-9769 · (864) 439-0259
Organization SubpartNo
Authorized OfficialRobert C. KimberlyExecutive Director · (864) 439-0259
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1104977735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
115 CHILDRENS WAY, Duncan, SC 29334

Other Identifiers 2

Medicaid978MXHSC
Medicaid920MXHSC

Other Providers at the Same Location NPPES 3

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

Voluntary or Charitable
115 CHILDRENS WAY
DUNCAN, SC 29334
Counselor (Professional)
115 CHILDRENS WAY
DUNCAN, SC 29334
Residential Treatment Facility, Emotionally Disturbed Children
115 CHILDRENS WAY
DUNCAN, SC 29334

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 Southeastern Children's Home's NPI number?

The NPI number for Southeastern Children's Home is 1104977735. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Southeastern Children's Home located?

Southeastern Children's Home is located at 115 Childrens Way, Duncan, SC 29334. The listed phone number is (864) 439-0259.

What is Southeastern Children's Home'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 Southeastern Children's Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.