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GENERATIONS MODERATE MANAGEMENT
NPI 1629119318
Residential Treatment Facility, Emotionally Disturbed Children in Fountain Inn, SC

Active since February 08, 2007
810 DUNKLIN BRIDGE ROAD, FOUNTAIN INN, SC 29644(864) 243-5557(864) 243-3339 Get Directions Write a Review

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

About Generations Moderate Management NPPES

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

GENERATIONS MODERATE MANAGEMENT (NPI 1629119318) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Fountain Inn, South Carolina and active in the NPI registry since February 2007. The organization lists Mia L Richardson, Medicaid Project Administator, as its authorized official.

NPPES Registry Identity

NPI1629119318
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE
Location Address810 DUNKLIN BRIDGE ROADFountain Inn, SC 29644
Mailing AddressPo Box 21069Columbia, SC 29221-1069 · (803) 896-4751 · Fax (803) 896-8473
Phone(864) 243-5557
Fax(864) 243-3339
Organization SubpartNo
Authorized OfficialMia L RichardsonMedicaid Project Administator · (803) 896-4751
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629119318 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.
810 DUNKLIN BRIDGE ROAD, Fountain Inn, SC 29644
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Other Names 1

Other NameGenerations Moderate Management

Other Identifiers 1

MedicaidDJJ052SC

Other Providers at the Same Location NPPES

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

SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE
Residential Treatment Facility, Emotionally Disturbed Children
810 DUNKLIN BRIDGE ROAD
FOUNTAIN INN, SC 29644
Greenville County (864) 243-5557

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 1629119318. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is also known as Generations Moderate Management.

Where is South Carolina Department Of Juvenile Justice located?

South Carolina Department Of Juvenile Justice is located at 810 Dunklin Bridge Road, Fountain Inn, SC 29644. The listed phone number is (864) 243-5557.

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.

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.