Hannah Residential Manor, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

RCF 0712 Issued in SC

Legal business name

HANNAH RESIDENTIAL MANOR, INC.

Practice address

3750 Sheminally Rd
Pamplico, SC 29583-5700

Phone

(843) 493-0001

Fax

(843) 493-2840

NPI assigned

Aug 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ronald E. Hart Sr., COB

Title

Owner

Phone

(843) 493-0001

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1013263433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 SHEMINALLY RD",
            "city": "PAMPLICO",
            "state": "SC",
            "postal_code": "295835700",
            "telephone_number": "843-493-0001",
            "fax_number": "843-493-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 SHEMINALLY RD",
            "city": "PAMPLICO",
            "state": "SC",
            "postal_code": "295835700",
            "telephone_number": "843-493-0001",
            "fax_number": "843-493-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH RESIDENTIAL MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-493-0001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "COB"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "SC",
            "license": "RCF 0712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RCF 0712",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolinas Medical Alliance, Inc
• Tina Stone Chastain, RPH
• Kellie White Douglas, PHARM.D
• Exodus Medical Transport of SC
• Florence County School District No. Two
• Lane Madison Hodges, PHARMD
• Leaps and Bounds Early Intervention LLC
• Life Links
• Life Links Behavioral and Medical Group
• Life Links, LLC

• Adult Care Home Facility in Pamplico, SC
• Providers in Pamplico, SC by specialty
• Adult Care Home Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.