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ROCK HILL VA
NPI 1972753622
Community/Behavioral Health in Rock Hill, SC

Active since September 30, 2008
205 PIEDMONT BLVD, ROCK HILL, SC 29732(803) 366-4848 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Rock Hill Va NPPES

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

ROCK HILL VA (NPI 1972753622) is a healthcare organization registered as a community/behavioral health in Rock Hill, South Carolina and active in the NPI registry since September 2008. The organization lists Tawney Dively, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972753622
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameROCK HILL VA
Location Address205 PIEDMONT BLVDRock Hill, SC 29732-1836
Mailing Address205 Piedmont BlvdRock Hill, SC 29732-1836
Phone(803) 366-4848
Organization SubpartYesParent: Va
Authorized OfficialTawney DivelyAdministrator · (803) 366-4848
Enumeration DateSeptember 30, 2008
✔ NPI 1972753622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in SC · 36
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
205 PIEDMONT BLVD, Rock Hill, SC 29732
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Other Identifiers 1

MedicaidQMO740SC

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 Accreditation 42D1045967

Rock Hill Cboc · Rock Hill, SC
Expired · Sep 30, 2026
CLIA Number42D1045967
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 27, 2005
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorJailan M. Osman
Laboratory Phone(803) 366-4848
Laboratory LocationRock Hill Cboc459 Lakeshore Parkway, Rock Hill, SC 29730
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 11

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

MRS. ELIZABETH ANN SURRATT LISW-CP
Social Worker (Clinical)
205 PIEDMONT BLVD
ROCK HILL, SC 29732
York County (803) 366-4848
MR. TYRONE HART LMSW
Social Worker (Clinical)
205 PIEDMONT BLVD
ROCK HILL, SC 29732
York County (803) 325-4848
MRS. KARA ELIZABETH SCHNEIDER M.A., LADC-1
Counselor (Mental Health)
205 PIEDMONT BLVD, SUITE 100
ROCK HILL, SC 29732
York County (803) 327-2012
MS. PAMELA HULL WHITEAKER LBSW
Social Worker
205 PIEDMONT BLVD
ROCK HILL, SC 29732
York County (803) 366-4848
JOHN P DEMCHAK D.O.
Internal Medicine
205 PIEDMONT BLVD
ROCK HILL, SC 29732
York County (803) 366-4848
JAGDISH VALLABHDAS SHAH M.D.
Psychiatry & Neurology (Psychiatry)
205 PIEDMONT BLVD
ROCK HILL, SC 29732
York County (704) 842-6467
EMILY LOUISE JOHNSON MSW
Social Worker
205 PIEDMONT BLVD
ROCK HILL, SC 29732
York County (803) 327-2012
NIGEL JAVON MITCHELL
Counselor (Mental Health)
205 PIEDMONT BLVD
ROCK HILL, SC 29732
York County (803) 323-2012

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 Rock Hill VA's NPI number?

The NPI number for Rock Hill VA is 1972753622. It was assigned to this organization in the NPPES registry on September 30, 2008.

Where is Rock Hill VA located?

Rock Hill VA is located at 205 Piedmont Blvd, Rock Hill, SC 29732. The listed phone number is (803) 366-4848.

What is Rock Hill VA's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Rock Hill VA was last updated on September 30, 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.