INDIVIDUAL
NPI 1639415920
Residential Treatment Facility, Emotionally Disturbed Children in Columbia, SC

Q: What is Individual's NPI number?

The NPI number for Individual is 1639415920. It was assigned to this organization in the NPPES registry on December 14, 2012.

Q: What is Individual'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 Individual was last updated on December 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 December 14, 2012

1725 SHIVERS RD, COLUMBIA, SC 29210(803) 896-5732(803) 896-5723 Get Directions Write a Review

NPPES record last updated: December 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Individual NPPES

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

INDIVIDUAL (NPI 1639415920) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Columbia, South Carolina and active in the NPI registry since December 2012. The organization lists Jan Giesen, Director Of Social Work, as its authorized official.

NPPES Registry Identity

NPI1639415920

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameINDIVIDUAL

Location Address1725 SHIVERS RDColumbia, SC 29210-5413

Mailing Address1725 Shivers RdColumbia, SC 29210-5413 · (803) 896-5732 · Fax (803) 896-5723

Phone(803) 896-5732

Fax(803) 896-5723

Organization SubpartNo

Authorized OfficialJan GiesenDirector Of Social Work · (803) 896-4813

Enumeration DateDecember 14, 2012

✔ NPI 1639415920 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 · 5322

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.

1725 SHIVERS RD, Columbia, SC 29210

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Other Providers at the Same Location NPPES

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

DEPARTMENT OF JUVENILE JUSTICE

Community/Behavioral Health

1725 SHIVERS RD
COLUMBIA, SC 29210

Richland County (806) 896-5695

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 Individual's NPI number?

The NPI number for Individual is 1639415920. It was assigned to this organization in the NPPES registry on December 14, 2012.

Where is Individual located?

Individual is located at 1725 Shivers Rd, Columbia, SC 29210. The listed phone number is (803) 896-5732.

What is Individual'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 Individual was last updated on December 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.