DJJ CAMP ASPEN
NPI 1710027644
Residential Treatment Facility, Emotionally Disturbed Children in Columbia, SC

Active since February 08, 2007
5300 BROAD RIVER RD, COLUMBIA, SC 29212(803) 551-1100(803) 551-5560 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Djj Camp Aspen NPPES

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

DJJ CAMP ASPEN (NPI 1710027644) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Columbia, 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

NPI1710027644
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE
Location Address5300 BROAD RIVER RDColumbia, SC 29212-3539
Mailing AddressPo Box 21069Columbia, SC 29221-1069 · (803) 896-4751 · Fax (803) 896-8473
Fax(803) 551-5560
Organization SubpartNo
Authorized OfficialMia L RichardsonMedicaid Project Administrator · (803) 896-4751
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1710027644 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.

5300 BROAD RIVER RD, Columbia, SC 29212

Other Names 1

Other NameDjj Camp Aspen

Other Identifiers 1

MedicaidDJJ064SC

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 1710027644. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is also known as Djj Camp Aspen.

Where is South Carolina Department Of Juvenile Justice located?

South Carolina Department Of Juvenile Justice is located at 5300 Broad River Rd, Columbia, SC 29212. The listed phone number is (803) 551-1100.

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 with the weekly NPPES data releases published by CMS.