OrganizationActive
Golden Shields of South Carolina Inc
NPI 1952890212 · Psychiatric Residential Treatment Facility · Blythewood, SC
Provider details
- NPI number
- 1952890212
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Alternate Paths
- Organization subpart
- Yes
- Authorized official
- Johnnie Hardy, Chief Executive Officer(770) 380-8994
Specialties & taxonomies
Residential Treatment Facilities
- Meals Provider174200000X
Other Service Providers
- Lodging Provider177F00000X
Other Service Providers
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Residential Treatment Facilities
- Non-Pharmacy Dispensing Site332900000X
Suppliers
Practice location
85 Wading Bird Loop
Blythewood, SC 29016-5906
Phone: (770) 380-8994
Fax: (800) 781-1997
Approximate (ZIP-level) locationGet directions
Mailing address
990 Mount Zion Rd
Oxford, GA 30054-4023
Registry dates
- Enumerated
- 2018-05-02
- Last updated
- 2022-09-01
- Certified
- 2022-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.