Organization
MOUNTAIN TOP ADULT DAY CENTER
Active
Other names
MTADC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN A KENNEDY ED.D. (CHIEF EXECUTIVE OFFICER)
(803) 736-5872
Entity
Organization
Contact information
Practice address
1941 DECKER BLVD, COLUMBIA, SC 29206-3470
(803) 787-0020
(803) 787-0020
Mailing address
1941 DECKER BLVD, COLUMBIA, SC 29206-3470
(803) 787-0020
(803) 787-0020
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2016-47738-46733
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1304
—
SC
Enumeration date
03/07/2016
Last updated
03/07/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up