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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Street Address |
2720 COUNTRY CLUD ROAD |
City | SPARTANBURG |
State | SC |
Zip Code | 29302 |
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 Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
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] |
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 |
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 |
City | SPARTANBURG |
Zip Code | 29302 |
Please comment or provide details below to improve the information on PARK PLACE SPARTANBURG.
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.