FSL GREENVILLE SC TENANT LLC (NPI# 1548881972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548881972 |
| Entity Type | Organization |
| Organization Name | FSL GREENVILLE SC TENANT LLC |
| Practice Address |
1306 Pelham Rd Greenville SC 29615-3600 |
| Mailing Address |
1240 E Inependence St Suite 200 Springfield MO 65804 |
| Practice Telephone | 4178771717 |
| Mailing Telephone | 4175218522 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | MR. JOHN FOSTER (MANAGING MEMBER) |
| Authorized Official Telephone | 4175218522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
1306 PELHAM RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063461986 | Sunrise Senior Living Services, Inc. | Skilled Nursing Facility | 1306 Pelham Rd, Greenville, SC 29615-3600 | 2006-05-08 |
| 1306459508 | Courtney Wilson | Occupational Therapist | 1306 Pelham Rd, Greenville, SC 29615-3600 | 2020-08-26 |
| 1821600735 | Aegis Group Practice, LLC | Occupational Therapist | 1306 Pelham Rd, Greenville, SC 29615-3600 | 2020-08-21 |
| 1912385089 | John William Davis IIi | Physical Therapist | 1306 Pelham Rd, Greenville, SC 29615-3600 | 2015-05-11 |
| 1952723173 | Lauren Johnson | Speech-Language Pathologist | 1306 Pelham Rd, Greenville, SC 29615-3600 | 2014-01-07 |
| 1134473143 | Jennifer Kajs | Physical Therapy Assistant | 1306 Pelham Rd, Greenville, SC 29615-3600 | 2012-10-30 |
| 1902159411 | Brandi Nicole Shaw | Occupational Therapist | 1306 Pelham Rd, Greenville, SC 29615-3600 | 2012-10-22 |
| 1194091447 | Andrew P Maurides | Occupational Therapy Assistant | 1306 Pelham Rd, Greenville, SC 29615-3600 | 2012-03-30 |
| 1780957365 | Lisa Marie Landen | Physical Therapy Assistant | 1306 Pelham Rd, Greenville, SC 29615-3600 | 2012-02-13 |
| 1619246279 | Charlie Danielle Craig | Physical Therapy Assistant | 1306 Pelham Rd, Greenville, SC 29615-3600 | 2011-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437673456 | 13455 Golden LLC | Skilled Nursing Facility | 13455 West Highway 90, Greenville, FL 32331 | 2017-08-01 |
| 1710348305 | Maybrook-c Whitecliff Opco LLC | Skilled Nursing Facility | 110 Fredonia Road, Greenville, PA 16125-7911 | 2016-03-10 |
| 1154792000 | East Carolina Rehab and Wellness, LLC | Skilled Nursing Facility | 2575 W 5th St, Greenville, NC 27834-7813 | 2015-10-16 |
| 1972932879 | Crosswinds Rehab | Skilled Nursing Facility | 13455 W Us Hwy 90, Greenville, FL 32331 | 2013-11-01 |
| 1427484195 | Greenville Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 117 Sycamore Street, Greenville, MO 63944-0108 | 2013-09-25 |
| 1255778064 | Providence Home Care LLC | Skilled Nursing Facility | 128 Millport Cir, Suite 200, Greenville, SC 29607-5571 | 2013-06-03 |
| 1548572894 | Patewood Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 2 Griffith Rd., Greenville, SC 29607-3503 | 2010-07-01 |
| 1952530867 | Upstate Senior Living, Inc. | Skilled Nursing Facility | 50 Arboretum Way, Greenville, SC 29617-6226 | 2009-07-13 |
| 1225276736 | 13455 Management LLC | Skilled Nursing Facility | 13455 West Us Highway 90, Greenville, FL 32331 | 2009-01-22 |
| 1285879437 | Benchmark Healthcare of Greenville, LLC | Skilled Nursing Facility | 108 Sycamore St, Greenville, MO 63944-0108 | 2008-12-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
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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.