Provider Demographics
NPI:1851426894
Name:ADULT ENRICHMENT CENTERS INC
Entity type:Organization
Organization Name:ADULT ENRICHMENT CENTERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIEGSHAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-327-0121
Mailing Address - Street 1:724 ARDEN LN STE 230
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3272
Mailing Address - Country:US
Mailing Address - Phone:803-327-0121
Mailing Address - Fax:803-265-5257
Practice Address - Street 1:601 SPRINGCREST DR
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-7314
Practice Address - Country:US
Practice Address - Phone:803-396-5336
Practice Address - Fax:803-396-5352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0600X
SCADC223261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0666Medicaid