SOUTHSIDE RES. CARE
NPI 1699929612
Community Based Residential Treatment Facility, Mental Illness in Pros, SC

Q: What is Southside Res. Care's NPI number?

The NPI number for Southside Res. Care is 1699929612. It was assigned to this organization in the NPPES registry on November 5, 2008.

Q: What is Southside Res. Care's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since November 05, 2008

425 S. WHEELER AVE, PROS, SC 29127(803) 364-0022(803) 364-8250 Get Directions Write a Review

NPPES record last updated: November 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southside Res. Care NPPES

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

SOUTHSIDE RES. CARE (NPI 1699929612) is a healthcare organization registered as a community based residential treatment facility, mental illness in Pros, South Carolina and active in the NPI registry since November 2008. The organization lists Roy L. Bowers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699929612

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameSOUTHSIDE RES. CARE

Location Address425 S. WHEELER AVEPros, SC 29127

Mailing Address425 S. Wheeler AveProsperity, SC 29127 · (803) 364-0022 · Fax (803) 364-8250

Phone(803) 364-0022

Fax(803) 364-8250

Organization SubpartNo

Authorized OfficialRoy L. BowersCeo · (803) 364-0022

Enumeration DateNovember 5, 2008

✔ NPI 1699929612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

425 S. WHEELER AVE, Pros, SC 29127

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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 Southside Res. Care's NPI number?

The NPI number for Southside Res. Care is 1699929612. It was assigned to this organization in the NPPES registry on November 5, 2008.

Where is Southside Res. Care located?

Southside Res. Care is located at 425 S. Wheeler Ave, Pros, SC 29127. The listed phone number is (803) 364-0022.

What is Southside Res. Care's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Southside Res. Care was last updated on November 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.