Healthcare Provider Details

I. General information

NPI: 1184055543
Provider Name (Legal Business Name): ANDERSON COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 MCGEE RD
ANDERSON SC
29625-2104
US

IV. Provider business mailing address

214 MCGEE RD
ANDERSON SC
29625-2104
US

V. Phone/Fax

Practice location:
  • Phone: 864-260-4515
  • Fax:
Mailing address:
  • Phone: 864-260-4515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA L KERNELLS
Title or Position: EXECUTIVE DIRECTOR
Credential: MBA
Phone: 864-260-4515