Kiva Lodge
NPI 1366764870 · Adult Mental Health Clinic/Center · Blythewood, SC
Kiva Lodge is a Adult Mental Health Clinic/Center organization in Blythewood, SC (NPI 1366764870).
Provider details
- NPI number
- 1366764870
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Cthii
- Organization subpart
- Yes
- Authorized official
- Ruth Tyler, Care Provider(803) 754-5478
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Other names (DBA / former)
- Other name
- Mental Health of South Carolina
Registry dates
- Enumerated
- 2010-02-25
- Last updated
- 2010-02-25
Frequently asked questions
- What is Kiva Lodge's NPI number?
- Kiva Lodge's National Provider Identifier (NPI) is 1366764870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kiva Lodge?
- Kiva Lodge is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kiva Lodge located?
- Kiva Lodge's practice location on file with NPPES is 200 Claude Bundrick Rd, Blythewood, SC 29016-9420.
- What is Kiva Lodge's phone number?
- The practice phone number listed in the NPPES registry for Kiva Lodge is (803) 754-5478.
- Who is the authorized official for Kiva Lodge?
- The authorized official listed on Kiva Lodge's NPPES record is Ruth Tyler, Care Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kiva Lodge's NPI active?
- Yes — Kiva Lodge's NPI (1366764870) is active in the NPPES registry as of the last update on 2010-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.