GRAND STRAND REGIONAL MEDICAL CENTER, LLC (NPI# 1184135758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184135758 |
| Entity Type | Organization |
| Organization Name | GRAND STRAND REGIONAL MEDICAL CENTER, LLC |
| Other Organization Name | GRAND STRAND MEDICAL CENTER |
| Practice Address |
809 82nd Pkwy Myrtle Beach SC 29572-4607 |
| Practice Telephone | 8436921000 |
| Practice Fax Number | 8436921109 |
| Mailing Telephone | 8436921000 |
| Mailing Fax Number | 8436921109 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |
| Authorized Official Name | LAURIE HAYNES (CFO) |
| Authorized Official Telephone | 8436921105 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRAND STRAND REGIONAL MEDICAL CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Grand Strand Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972014728 | Grand Strand Regional Medical Center, LLC | Psychiatric Unit | 5050 Highway 17 Byp S, Myrtle Beach, SC 29588-4500 | 2017-10-19 |
| 1770605479 | Grand Strand Regional Medical Center, LLC | Clinic/Center | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2007-04-04 |
| 1477630598 | Grand Strand Regional Medical Center, LLC | General Acute Care Hospital | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2006-11-01 |
| 1902850951 | Grand Strand Regional Medical Center, LLC | General Acute Care Hospital | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2006-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRAND STRAND REGIONAL MEDICAL CENTER, LLC | 809 82nd Parkway, Myrtle Beach, SC 29572-4607 |
| Street Address |
809 82ND PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577035 | Thomas J Martel | Emergency Medicine | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2005-06-13 |
| 1104455211 | Chad Byrd | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-04-02 |
| 1831727122 | Michael Ladd | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-31 |
| 1932737335 | Aditya Ragunathan | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-31 |
| 1710515242 | Elise Erin Steinberger | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-30 |
| 1962030866 | Mitsy Jannet Moreno | Internal Medicine | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-28 |
| 1659908648 | Emma Kaitlyn Rousakis | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-27 |
| 1992333819 | Paul Harwood Hargrave | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-27 |
| 1134756109 | Oyindamola Awe | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-26 |
| 1003443292 | Benjamin Tyler Mckinney | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972745032 | Clemson Sports Medicine and Rehabilitation | Rehabilitation Unit | 210 Village Center Blvd, Suite 100, Myrtle Beach, SC 29579-6706 | 2009-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558739649 | Prisma Health | Rehabilitation Unit | 104 Saluda Point Drive, Lexington, SC 29072 | 2015-09-08 |
| 1134597214 | Prisma Health-midlands | Rehabilitation Unit | 3221 Sunset Blvd Suite B, Columbia, SC 29169-0000 | 2015-09-08 |
| 1043688120 | Palmetto Health | Rehabilitation Unit | 3600 Forest Drive-suite 101, Columbia, SC 29204-0000 | 2015-09-08 |
| 1902274095 | Prisma Health-midlands | Rehabilitation Unit | 111 Sparkleberry Crossing Rd Suite 5, Columbia, SC 29229 | 2015-09-08 |
| 1861834673 | B&b Occupational Therapy | Rehabilitation Unit | 9998 Hallsford Dr, Ladson, SC 29456-3849 | 2013-07-22 |
| 1518212232 | Medfit | Rehabilitation Unit | 10071 Broad River Rd Ste B, Irmo, SC 29063-2381 | 2012-07-18 |
| 1508411463 | East Cooper Community Hospital, Inc. | Rehabilitation Unit | 2000 Hospital Dr, Mt Pleasant, SC 29464-3764 | 2019-08-07 |
| 1699248195 | Medical University Hospital Authority | Rehabilitation Unit | 121 E Cedar St, Florence, SC 29506-2576 | 2019-01-07 |
| 1144793654 | Medical University Hospital Authority | Rehabilitation Unit | 800 W Meeting St, Lancaster, SC 29720-2202 | 2019-01-07 |
| 1942772546 | Spartanburg Medical Center | Rehabilitation Unit | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29572 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.