GENESIS HEALTH CARE, INC (NPI# 1255305280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255305280 |
Entity Type | Organization |
Organization Name | GENESIS HEALTH CARE, INC |
Other Organization Name | DBA BRENT BAROODY MD |
Practice Address |
1523 Heritage Ln Florence SC 29505-3197 |
Mailing Address |
3400 West Ave Columbia SC 29203-6901 |
Practice Telephone | 8436739992 |
Practice Fax Number | 8436739996 |
Mailing Telephone | 8032543676 |
Mailing Fax Number | 8032543678 |
Enumeration Date | 2006-02-15 |
Last Update Date | 2019-01-30 |
Authorized Official Name | MR. TONY MEGNA (CEO) |
Authorized Official Telephone | 8032543676 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
DBA Brent Baroody MD | Doing Business As Name - Organization |
Genesis Health Care Florence | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720636012 | Genesis Health Care, Inc | Clinic/Center | 115 Exchange St, Darlington, SC 29532-3203 | 2019-08-29 |
1972163350 | Genesis Health Care, Inc | Pharmacy | 211 S Jones Rd Ste A, Olanta, SC 29114-9705 | 2019-06-18 |
1558831198 | Genesis Health Care, Inc | Pediatrics | 124 Medical Park Dr, Walterboro, SC 29488-5719 | 2018-11-27 |
1548770746 | Genesis Health Care, Inc | Pharmacy | 201 Cashua St, Darlington, SC 29532-3301 | 2017-10-03 |
1861924789 | Genesis Health Care, Inc | Pharmacy | 201 Cashua St, Ste 2, Darlington, SC 29532-3301 | 2017-03-30 |
1811045677 | Genesis Health Care, Inc | Pharmacy | 201 Cashua St, Suite A, Darlington, SC 29532-3301 | 2007-01-08 |
Street Address |
1523 HERITAGE LN |
City | FLORENCE |
State | SC |
Zip Code | 29505-3197 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558355958 | Brent J Baroody | Obstetrics & Gynecology | 1523 Heritage Ln, Florence, SC 29505-3197 | 2005-08-31 |
1366909434 | Lisa Renee Poston | Nurse Practitioner | 1523 Heritage Ln, Florence, SC 29505-3197 | 2019-02-25 |
1912218066 | Alecia R Anyim | Internal Medicine | 1523 Heritage Ln, Florence, SC 29505-3197 | 2010-06-23 |
1417941667 | Bonita F. Mccray | Nurse Practitioner | 1523 Heritage Ln, Unit B, Florence, SC 29505-3197 | 2005-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
Find all providers in zip 29505 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1801271903 | Hopehealth, Inc. | Clinic/Center | 360 N Irby St, Florence, SC 29501-2808 | 2015-07-30 |
1720428204 | Hopehealth, Inc | Clinic/Center | 506 E Cheves St, Florence, SC 29506-2616 | 2013-06-28 |
1841580412 | Hopehealth, Inc. | Clinic/Center | 121 S Evander Dr, Florence, SC 29506-4212 | 2011-04-15 |
1104128487 | Healthpoint Family Care, Inc. | Clinic/Center | 7607 Dixie Hwy, Florence, KY 41042-2689 | 2010-11-19 |
1730312745 | Family Health Care Clinic, Inc. | Clinic/Center | 216 Marengo St, Suite A, Florence, AL 35630 | 2009-08-25 |
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1235753914 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 | 2020-05-29 |
1982248852 | Regenesis Organization Community Health Center | Clinic/Center | 115 Thomas St Ste B, Union, SC 29379-2147 | 2019-11-04 |
1720636012 | Genesis Health Care, Inc | Clinic/Center | 115 Exchange St, Darlington, SC 29532-3203 | 2019-08-29 |
1063079549 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526-8391 | 2019-05-21 |
1043775703 | Rural Health Services Inc | Clinic/Center | 4200 Whiskey Rd, Aiken, SC 29803-8534 | 2019-02-07 |
1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
1215410667 | Low Country Health Care System | Clinic/Center | 19340 Solomon Blatt Ave N, Blackville, SC 29817-2304 | 2018-09-12 |
1922584481 | Sandhills Medical Foundation, Inc. | Clinic/Center | 290 Market Street, Ruby, SC 29741 | 2018-07-17 |
Find all providers with the same taxonomy |
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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.