CAMP WHITE PINES I
NPI 1578604195
Residential Treatment Facility, Emotionally Disturbed Children in Jonesville, SC

Q: What is South Carolina Department Of Juvenile Justice's specialty?

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

Active since February 08, 2007

742 T BISHOP RD, JONESVILLE, SC 29353(864) 674-0458(864) 674-0460 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Camp White Pines I NPPES

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

CAMP WHITE PINES I (NPI 1578604195) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Jonesville, South Carolina and active in the NPI registry since February 2007. The organization lists Mia L Richardson, Medicaid Project Administrator, as its authorized official.

NPPES Registry Identity

NPI1578604195

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameSOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE

Location Address742 T BISHOP RDJonesville, SC 29353-2342

Mailing AddressPo Box 21069Columbia, SC 29221-1069 · (803) 896-4751 · Fax (803) 896-8473

Phone(864) 674-0458

Fax(864) 674-0460

Organization SubpartNo

Authorized OfficialMia L RichardsonMedicaid Project Administrator · (803) 896-4751

Enumeration DateFebruary 8, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1578604195 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.

742 T BISHOP RD, Jonesville, SC 29353

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Other Names 1

Other NameCamp White Pines I

Other Identifiers 1

MedicaidDJJ050SC

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #05590 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05590

DMEPOS supplier · Landrum, SCOperated by South Carolina CVS Pharmacy LLC

⋮

Does not accept Medicare assignment

CVS Pharmacy #05590 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20428499

Medicare Participant SinceJanuary 1, 2019

Supplier Location303 East Rutherford StLandrum, SC 29356

Phone(864) 457-4163

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

AMIKIDS

Residential Treatment Facility, Emotionally Disturbed Children

742 T BISHOP RD
JONESVILLE, SC 29353

Union County (864) 674-0458

SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE

Residential Treatment Facility, Emotionally Disturbed Children

742 T BISHOP RD
JONESVILLE, SC 29353

Union County (864) 674-0458

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 South Carolina Department Of Juvenile Justice's NPI number?

The NPI number for South Carolina Department Of Juvenile Justice is 1578604195. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is also known as Camp White Pines I.

Where is South Carolina Department Of Juvenile Justice located?

South Carolina Department Of Juvenile Justice is located at 742 T Bishop Rd, Jonesville, SC 29353. The listed phone number is (864) 674-0458.

What is South Carolina Department Of Juvenile Justice's specialty?

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

Does South Carolina Department Of Juvenile Justice accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, CVS Pharmacy #05590 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for South Carolina Department Of Juvenile Justice 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.