PARK PLACE SPARTANBURG


Address: 2720 Country Clud Road, Spartanburg, SC 29302
Phone: 8645911116

PARK PLACE SPARTANBURG (NPI# 1487875514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487875514
Entity Type Organization
Organization Name PARK PLACE SPARTANBURG
Practice Address 2720 Country Clud Road
Spartanburg
SC 29302
Mailing Address Po Box 3006
Salem
OR 97302
Practice Telephone 8645911116
Practice Fax Number 5034851279
Mailing Telephone 5034858697
Mailing Fax Number 5034851279
Enumeration Date 2007-05-02
Last Update Date 2020-08-22
Authorized Official Name JON HARDER (CEO PRESIDENT)
Authorized Official Telephone 5034858697
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Office Location

Street Address 2720 COUNTRY CLUD ROAD
City SPARTANBURG
State SC
Zip Code 29302

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083226476 Healthstat Inc Grace Management Preventive Medicine 951 South Pin Street, Suite 200, Spartanburg, SC 29302 2020-08-18
1467978304 Katherine Tomes Speech-Language Pathologist 355 Cedar Springs Road, Spartanburg, SC 29302 2017-08-22
1396291167 Brent Timothy Smith Specialist 151 Ribault Street Suite 200, Spartanburg, SC 29302 2016-08-31
1376995159 Natalie Nicole Kellett Nurse Practitioner 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 2016-07-06
1902273808 Tamieka Latrell Alston-gibson Nurse Practitioner 101 North Pine Street, Suite 210, Spartanburg, SC 29302 2015-08-26
1700209905 Robert W Wyatt Pharmacist 203 Cedar Springs Rd, Spartanburg, SC 29302 2014-01-24
1952735748 James Sidney Fulmer Sr. Obstetrics & Gynecology 167 Ivy Court, Spartanburg, SC 29302 2013-08-28
1053651828 Jennifer Geddes Hall Counselor 101 N Pine St Ste 210, Spartanburg, SC 29302 2013-02-15
1740304401 Leon Derek Herring Dentist 270 Cedar Spring Rd, Spartanburg, SC 29302 2007-03-19
1306973672 Julian Williams Internal Medicine 319 N Pine St, Spartanburg, SC 29302 2007-02-27
Find all providers in zip 29302

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093030777 Adult Care of The Carolinas Inc Assisted Living Facility 2860 New Cut Rd, Spartanburg, SC 29303-6332 2010-04-06
1679780662 Emeritus Corporation Assisted Living Facility 1705 Skylyn Drive, Spartanburg, SC 29307 2007-05-17
1760515621 Summit Hills, LLC Assisted Living Facility 110 Summit Hills Dr, Spartanburg, SC 29307-1532 2007-03-13
1962480186 Maranatha Manor of Spartanburg, Inc Assisted Living Facility 2902 E Main Street Ext, Spartanburg, SC 29307-1252 2006-01-06
1538602552 Pacifica Skylyn LLC Assisted Living Facility 1705 Skylyn Dr, Spartanburg, SC 29307-1077 2016-11-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487253993 Aiken Memory Care Assisted Living Facility 2288 S Centennial Ave, Aiken, SC 29803-7684 2020-10-26
1114533981 Jenni-lynn Assisted Living, LLC Assisted Living Facility 915 Hook Ave, West Columbia, SC 29169-5332 2020-09-17
1689280455 Sandpiper Independent & Assisted Living, LLC Assisted Living Facility 1047 Anna Knapp Blvd, Mount Pleasant, SC 29464-3146 2020-09-17
1336755396 Brookdale Senior Living Communities, Inc. Assisted Living Facility 1408 Parkway, Greenwood, SC 29646-4043 2020-09-16
1801402730 Brookdale Senior Living Communities, Inc Assisted Living Facility 105 N Hills Dr, North Augusta, SC 29841-0112 2020-09-16
1508472424 Brookdale Senior Living Communities, Inc. Assisted Living Facility 131 Vickery Dr, Central, SC 29630-8330 2020-09-16
1114533049 Ahc Sterling House of Harbison, LLC Assisted Living Facility 51 Woodcross Dr, Columbia, SC 29212-2350 2020-09-16
1922614866 Brookdale Senior Living Communities, Inc. Assisted Living Facility 251 Springtree Dr, Columbia, SC 29223-7989 2020-09-16
1033725973 Brookdale Senior Living Communities, Inc. Assisted Living Facility 1180 Wilson Hall Rd, Sumter, SC 29150-1738 2020-09-16
1750997771 Brookdale Senior Living Communities, Inc. Assisted Living Facility 2010 Brushy Creek Rd, Greer, SC 29650-2614 2020-09-16
Find all providers with the same taxonomy

Competitor

Search similar providers

City SPARTANBURG
Zip Code 29302

Improve Information

Please comment or provide details below to improve the information on PARK PLACE SPARTANBURG.

Dataset Information

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.

Trending Searches