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Southeastern Children'S Home

Emotionally Disturbed Childrens' Residential Treatment Facility in Duncan, SC · enumerated 2007 · authorized official Robert Kimberly, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104977735

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Registry record

Entity type Organization (Type 2)
Legal business name Southeastern Children'S Home
Practice address 115 Childrens Way, Duncan, SC, 29334
Enumeration date Jan 12, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Robert Kimberly
Title Executive Director

Other identifiers

Identifier Type State Issuer
978MXH Medicaid SC
920MXH Medicaid SC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Southeastern Children'S Home?
NPPES lists Robert Kimberly (Executive Director) as the authorized official for this organization.
What is the NPI number for Southeastern Children'S Home?
The NPI for Southeastern Children'S Home is 1104977735, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.