OrganizationActive
Carolina Autism Supported Living Services
NPI 1043394976 · Emotionally Disturbed Childrens' Residential Treatment Facility · Charleston, SC
Provider details
- NPI number
- 1043394976
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Phil Blevins, Executive Director(843) 573-1905
Specialties & taxonomies
Residential Treatment Facilities
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4 Carriage Ln Ste 302
Charleston, SC 29407-6050
Phone: (843) 573-1905
Fax: (843) 573-1926
Street-level locationGet directions
Mailing address
4 Carriage Ln Ste 302
Charleston, SC 29407-6050
Other names (DBA / former)
- Other name
- Carolina Autism
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2008-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.