DORCHESTER COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
NPI 1750703815
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Summerville, SC

Active since January 09, 2014CLIA 42D2114431 · Waiver
2717 W 5TH NORTH ST, SUMMERVILLE, SC 29483(843) 871-1285(843) 871-2929 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dorchester County Disabilities And Special Needs Board NPPES

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

DORCHESTER COUNTY DISABILITIES AND SPECIAL NEEDS BOARD (NPI 1750703815) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Summerville, South Carolina and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through June 13, 2028 and lists Celeste Richardson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1750703815
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDORCHESTER COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Location Address2717 W 5TH NORTH STSummerville, SC 29483-9605
Mailing Address2717 W 5th North StSummerville, SC 29483-9605 · (843) 871-1285 · Fax (843) 871-2929
Fax(843) 871-2929
Organization SubpartNo
Authorized OfficialCeleste RichardsonExecutive Director · (843) 871-1285
Enumeration DateJanuary 9, 2014
NPI 1750703815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
2717 W 5TH NORTH ST, Summerville, SC 29483

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2114431

Dorchester County Board Of Disabilities And Specia · Summerville, SC
Active · expires Jun 13, 2028
CLIA Number42D2114431
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJune 14, 2026
Certificate Expiration DateJune 13, 2028
Laboratory DirectorAntonio M. Fokes
Laboratory Phone(843) 871-1285
Laboratory LocationDorchester County Board Of Disabilities And Specia2717 West 5th North Street, Summerville, SC 29484
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dorchester County Disabilities And Special Needs Board's NPI number?

The NPI number for Dorchester County Disabilities And Special Needs Board is 1750703815. It was assigned to this organization in the NPPES registry on January 9, 2014.

Where is Dorchester County Disabilities And Special Needs Board located?

Dorchester County Disabilities And Special Needs Board is located at 2717 W 5th North St, Summerville, SC 29483. The listed phone number is (843) 871-1285.

What is Dorchester County Disabilities And Special Needs Board's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Dorchester County Disabilities And Special Needs Board hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2114431) is associated with this NPI, valid through June 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dorchester County Disabilities And Special Needs Board was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.