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POTTER'S HOUSE PALMETTO, INC.
NPI 1205297967
Residential Treatment Facility, Emotionally Disturbed Children in Lincolnville, SC

Active since March 09, 2016
104 E BERRY ST, LINCOLNVILLE, SC 29485(843) 200-4268 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Potter's House Palmetto, Inc. NPPES

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

POTTER'S HOUSE PALMETTO, INC. (NPI 1205297967) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Lincolnville, South Carolina and active in the NPI registry since March 2016. The organization lists Jay A. Spateholts, Chief Officer Rm & Compliance, as its authorized official.

NPPES Registry Identity

NPI1205297967
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePOTTER'S HOUSE PALMETTO, INC.
Location Address104 E BERRY STLincolnville, SC 29485-7204
Mailing Address2414 Clement's Ferry Rd.Charleston, SC 29429
Phone(843) 200-4268
Organization SubpartNo
Authorized OfficialJay A. SpateholtsChief Officer Rm & Compliance · (843) 200-4268
Enumeration DateMarch 9, 2016
✔ NPI 1205297967 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.
104 E BERRY ST, Lincolnville, SC 29485
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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 Potter's House Palmetto, Inc.'s NPI number?

The NPI number for Potter's House Palmetto, Inc. is 1205297967. It was assigned to this organization in the NPPES registry on March 9, 2016.

Where is Potter's House Palmetto, Inc. located?

Potter's House Palmetto, Inc. is located at 104 E Berry St, Lincolnville, SC 29485. The listed phone number is (843) 200-4268.

What is Potter's House Palmetto, Inc.'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 Potter's House Palmetto, Inc. was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.