CHARLES LEA CENTER NPI 1881034437

Case Management in Spartanburg, SC

NPI 1881034437 Organization Case Management CLIA Number 42D2005418 CLIA Certificate of Waiver

About CHARLES LEA CENTER

Charles Lea Center is a provider established in Spartanburg, South Carolina specializing in case management. The NPI number of Charles Lea Center is 1881034437 and was assigned on June 2013. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Gerald R. Bernard Ed.d (Executive Director)

The CLIA number of Charles Lea Center is 42D2005418 registered as a "intermediate care facility/individuals with intellectual disability" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Charles Lea Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1881034437

Provider NameCHARLES LEA CENTER
Provider Location Address195 BURDETTE ST SPARTANBURG, SC 29307
Provider Mailing Address195 BURDETTE ST SPARTANBURG, SC 29307
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-27-2013
Last Update Date06-27-2013


Primary Taxonomy

Taxonomy Code251B00000X
ClassificationCase Management
TypeAgencies
Taxonomy DescriptionAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Business Address

CHARLES LEA CENTER
195 BURDETTE ST
SPARTANBURG, SC
ZIP 29307
Phone: (864) 562-2222

Get Directions


Mailing Address

CHARLES LEA CENTER
195 BURDETTE ST
SPARTANBURG, SC
ZIP 29307
Phone: (864) 562-2222



Authorized Official

Authorized Official NameDR. GERALD R. BERNARD ED.D
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(864) 562-2222

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1881034437 is:

CLIA Number42D2005418
Facility TypeINTERMEDIATE CARE FACILITY/INDIVIDUALS WITH INTELLECTUAL DISABILITY
Certificate TypeCertificate of Waiver

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689120503CHARLES LEA CENTER
Organization
Day Training, Developmentally Disabled Services195 BURDETTE ST
SPARTANBURG, SC 29307
(864) 562-2222
1386182228MR. MICHAEL SCOTT O'SHIELDS MAT
Individual
Behavior Technician195 BURDETTE ST
SPARTANBURG, SC 29307
(864) 381-8089
1124567078 MARCIA MELTON-JAGGERS
Individual
Behavior Technician195 BURDETTE ST
SPARTANBURG, SC 29307
(864) 472-7407
1346775707 KRISTEN ALBERT BCABA
Individual
Assistant Behavior Analyst195 BURDETTE ST
SPARTANBURG, SC 29307
(864) 612-0149
1891265005 MEKESHA E WATSON
Individual
Behavior Technician195 BURDETTE ST
SPARTANBURG, SC 29307
(864) 590-0532
1710457924 COYONDIA SATTERWHITE
Individual
Behavior Technician195 BURDETTE ST
SPARTANBURG, SC 29307
(864) 585-0322
1477026250CLC ADMINISTRATIVE SERVICES, INC.
Organization
Behavior Analyst195 BURDETTE ST
SPARTANBURG, SC 29307
(864) 585-0322
1164078499 KANIESHA VASHON MILLER
Individual
Behavior Technician195 BURDETTE ST
SPARTANBURG, SC 29307
(864) 585-0322
1477101814 LAUREN SHARON CAMPBELL
Individual
Behavior Technician195 BURDETTE ST
SPARTANBURG, SC 29307
(864) 202-1500
1881238871 BONNIE LYNN EAVES RBT
Individual
Behavior Technician195 BURDETTE ST
SPARTANBURG, SC 29307
(864) 491-3781
1619511607 CAMI FRITZE RBT
Individual
Behavior Technician195 BURDETTE ST
SPARTANBURG, SC 29307
(864) 491-3339
1801430616 SHANEDRA CYNTRITHIA CULLER RBT
Individual
Behavior Technician195 BURDETTE ST
SPARTANBURG, SC 29307
(864) 585-0322

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.