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Pine Grove Inc.

Pine Grove Inc. is a healthcare organization registered as Emotionally Disturbed Childrens' Residential Treatment Facility in Elgin, SC, holding Type 2 (organization) NPI 1346307899 since 2007. The authorized official on file is James Moen, Executive Director.

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NPI 1346307899
Entity type Organization (Type 2)
Legal business name Pine Grove Inc.
Practice address 1500 CHESTNUT ROAD, Elgin, SC, 29045
Phone 8034383011
Fax 8034388611
Enumeration date 2007-01-03
Last updated in NPPES 2020-08-22

Authorized official

Name James Moen
Title Executive Director
Phone 8034383011

Taxonomy & classification

Taxonomy code Specialty Primary License State
322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Primary SR0008132001CCI SC

Other identifiers

Identifier Type State Issuer
961MXH Medicaid SC
Copy-ready billing details
Provider: Pine Grove Inc.
NPI: 1346307899
Taxonomy: 322D00000X (Emotionally Disturbed Childrens' Residential Treatment Facility)
Address: 1500 CHESTNUT ROAD, Elgin, SC, 29045

Verify this record

Cross-check NPI 1346307899 against the authoritative CMS record: view Pine Grove Inc. on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Pine Grove Inc. located?
The practice location on file with NPPES is in Elgin, SC.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.