PINE GROVE INC.
NPI 1346307899
Residential Treatment Facility, Emotionally Disturbed Children in Elgin, SC

Q: What is Pine Grove Inc.'s NPI number?

The NPI number for Pine Grove Inc. is 1346307899. It was assigned to this organization in the NPPES registry on January 3, 2007.

Q: What is Pine Grove Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Q: When was this NPI record last updated?

The NPPES record for Pine Grove Inc. 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 6 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.

Active since January 03, 2007

1500 CHESTNUT ROAD, ELGIN, SC 29045(803) 438-3011(803) 438-8611 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Pine Grove Inc. NPPES

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

PINE GROVE INC. (NPI 1346307899) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Elgin, South Carolina and active in the NPI registry since January 2007. The organization lists James D. Moen, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1346307899

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NamePINE GROVE INC.

Location Address1500 CHESTNUT ROADElgin, SC 29045-0100

Mailing AddressPo Box 100Elgin, SC 29045-0100 · (803) 438-3011 · Fax (803) 438-8611

Phone(803) 438-3011

Fax(803) 438-8611

Organization SubpartNo

Authorized OfficialJames D. MoenExecutive Director · (803) 438-3011

Enumeration DateJanuary 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1346307899 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

License✔ Licensed in SC · SR0008132001CCI

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.

1500 CHESTNUT ROAD, Elgin, SC 29045

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Other Identifiers 1

Medicaid961MXHSC

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 Pine Grove Inc.'s NPI number?

The NPI number for Pine Grove Inc. is 1346307899. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Pine Grove Inc. located?

Pine Grove Inc. is located at 1500 Chestnut Road, Elgin, SC 29045. The listed phone number is (803) 438-3011.

What is Pine Grove 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 Pine Grove Inc. 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 6 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.