MARANATHA MANOR OF SPARTANBURG, INC (NPI# 1962480186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962480186 |
| Entity Type | Organization |
| Organization Name | MARANATHA MANOR OF SPARTANBURG, INC |
| Practice Address |
2902 E Main Street Ext Spartanburg SC 29307-1252 |
| Practice Telephone | 8645790086 |
| Practice Fax Number | 8645790466 |
| Mailing Telephone | 8645790086 |
| Mailing Fax Number | 8645790466 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SANDRA M WEST (OFFICE MANAGER) |
| Authorized Official Telephone | 8645790086 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | CRC1235 | SC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RC1235 | 05 |
| Street Address |
2902 E MAIN STREET EXT |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407000573 | Christopher Cooper Hoffman | Physical Therapist | 2902 E Main Street Ext, Spartanburg, SC 29307-1252 | 2008-11-15 |
| 1043464118 | Senior Rehab Source | Physical Therapist | 2902 E Main Street Ext, Spartanburg, SC 29307-1252 | 2008-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| Find all providers in zip 29307 | ||||
| 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 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1760515621 | Summit Hills, LLC | Assisted Living Facility | 110 Summit Hills Dr, Spartanburg, SC 29307-1532 | 2007-03-13 |
| 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 | 29307 |
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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.