ADVANTAGE VETERANS SERVICES OF (NPI# 1790078582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790078582 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE VETERANS SERVICES OF |
| Other Organization Name | VETERANS VICTORY HOUSE NURSING HOME |
| Practice Address |
2461 Sidneys Rd Walterboro SC 29488-6783 |
| Mailing Address |
Po Box 5285 Anderson SC 29623-5285 |
| Practice Telephone | 8435383000 |
| Mailing Telephone | 8642243898 |
| Mailing Fax Number | 8642243609 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2013-03-29 |
| Authorized Official Name | HEYWARD HILLIARD (VICE PRESIDENT - OPERATIONS) |
| Authorized Official Telephone | 8642243898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
9034 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4230291 | 01 | |
| SC | 0921NF | 05 |
| Other Name | Type Code |
|---|---|
| Veterans Victory House Nursing Home | Doing Business As Name - Organization |
| Street Address |
2461 SIDNEYS RD |
| City | WALTERBORO |
| State | SC |
| Zip Code | 29488-6783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104838192 | South Carolina Dept of Mental Health Accounting Office | Skilled Nursing Facility | 2461 Sidneys Rd, Walterboro, SC 29488-6783 | 2006-08-12 |
| 1780850891 | South Carolina Dept of Mental Health Accounting Office | Internal Medicine | 2461 Sidneys Rd, Walterboro, SC 29488-6783 | 2008-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996880 | Tamela Johnson | Counselor | 1439 Thunderbolt Drive Walterboro, Sc 29488, 1439 Thunderbolt Drive Walterboro, Sc 29488, Walterboro, SC 29488 | 2020-09-15 |
| 1558727941 | Amber Henderson | Counselor | 2004 Jefferies Hwyv, Walterbori, SC 29488 | 2016-01-14 |
| 1710130471 | George's Clearvision | Optometrist | 1009 Bells Hwy, Walterboro, SC 29488 | 2008-10-28 |
| 1992965503 | Colleton Chiropractic, LLC | Chiropractor | 211 Eddie Chasteen Drive, Walterboro, SC 29488 | 2008-06-17 |
| 1083885867 | Lowcountry Imaging Associates, LLC | Clinic/Center | 211 Meadow Street, Walterboro, SC 29488 | 2008-03-19 |
| 1215106794 | Lowcountry Center for Diabetes & Endocrinology Pa | Specialist | 16 Northside Dr., Walterboro, SC 29488 | 2008-02-28 |
| 1649399445 | Dan Russell Yarbrough | Dentist | 100a Commerce Drive, Walterboro, SC 29488 | 2007-03-29 |
| 1902931355 | Colleton County School District | Speech-Language Pathologist | 611 Colletonloop, Walterboro, SC 29488 | 2007-02-23 |
| 1477616555 | Samuel Michael Hazel | Dentist | 415a Robertson Blvd, One Professional Plaza, Walterboro, SC 29488 | 2006-12-19 |
| 1245243823 | Landrum Rescue Squad | Ambulance | 203 B Eddie Chasteen Blvd, Walterborough, SC 29488 | 2006-08-14 |
| Find all providers in zip 29488 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808035 | Hrm Rx | Pharmacy | 351 S. Midway Hwy Johnsonville, Johnsonville, SC 29555-2955 | 2020-10-12 |
| 1780290429 | Blue Ridge Pharmacy Inc | Pharmacy | 161 Pontiac Business Center Dr Ste 1192, Elgin, SC 29045-7123 | 2020-09-18 |
| 1134731649 | Select Care Pharmacy, LLC. | Pharmacy | 480 Jessen Ln Ste A, Charleston, SC 29492-7915 | 2020-08-18 |
| 1700426723 | Sweetgrass Pharmacy & Compounding LLC | Pharmacy | 1952 Long Grove Dr Ste 1, Mt Pleasant, SC 29464-7579 | 2020-01-07 |
| 1780122028 | Hospiconic Southeastern LLC | Pharmacy | 7275 Cross County Rd, Suite E, North Charleston, SC 29418-3318 | 2017-02-07 |
| 1811248412 | Genoa Healthcare, LLC | Pharmacy | 4 Harbison Way, Columbia, SC 29212-3402 | 2012-09-24 |
| 1093987091 | Clarendon Memorial Hospital | Pharmacy | 50 E Hospital St Ste 1, Manning, SC 29102-3149 | 2008-03-31 |
| 1891830899 | Generx Pharmacy | Pharmacy | 429 E Boundary St, Chapin, SC 29036-8388 | 2007-02-20 |
| 1316004633 | Preferred Care Pharmaceutical Services Inc | Pharmacy | 4794 A Hwy 162, Hollywood, SC 29449 | 2007-01-03 |
| 1245390707 | Longs Closed Door Pharmacy Inc | Pharmacy | 111 Executive Center Dr Ste 222, Columbia, SC 29210-8425 | 2006-12-12 |
| Find all providers with the same taxonomy | ||||
| City | WALTERBORO |
| Zip Code | 29488 |
Please comment or provide details below to improve the information on ADVANTAGE VETERANS SERVICES OF.
| 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.