1. Home
  2. Directory
  3. South Carolina
  4. Eastover
  5. Community Based Residential Treatment Facility Mental Illness
  6. NPI Profile

LUCILLE MANOR COMMUNITY RESIDENTIAL CARE, LLP
NPI 1124586599
Community Based Residential Treatment Facility, Mental Illness in Eastover, SC

Active since March 05, 2019
1004 R L COWARD RD, EASTOVER, SC 29044(803) 546-0298 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lucille Manor Community Residential Care, Llp NPPES

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

LUCILLE MANOR COMMUNITY RESIDENTIAL CARE, LLP (NPI 1124586599) is a healthcare organization registered as a community based residential treatment facility, mental illness in Eastover, South Carolina and active in the NPI registry since March 2019. The organization lists Jacqueline Mack Mintz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124586599
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameLUCILLE MANOR COMMUNITY RESIDENTIAL CARE, LLP
Location Address1004 R L COWARD RDEastover, SC 29044-9455
Mailing Address27 Carriage Oaks CtColumbia, SC 29229-9300 · (803) 546-0298
Phone(803) 546-0298
Organization SubpartNo
Authorized OfficialJacqueline Mack MintzAdministrator · (803) 546-0298
Enumeration DateMarch 5, 2019
✔ NPI 1124586599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1004 R L COWARD RD, Eastover, SC 29044
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

PATHS OF HOPE
Community Based Residential Treatment Facility, Mental Illness
1004 R L COWARD RD
EASTOVER, SC 29044
Richland County (803) 776-4482

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 Lucille Manor Community Residential Care, LLP's NPI number?

The NPI number for Lucille Manor Community Residential Care, LLP is 1124586599. It was assigned to this organization in the NPPES registry on March 5, 2019.

Where is Lucille Manor Community Residential Care, LLP located?

Lucille Manor Community Residential Care, LLP is located at 1004 R L Coward Rd, Eastover, SC 29044. The listed phone number is (803) 546-0298.

What is Lucille Manor Community Residential Care, LLP's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Lucille Manor Community Residential Care, LLP was last updated on March 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.