Organization Active NPI

Spring Oak Laurens LLC

  • Assisted Living Facility
  • Laurens, SC
National Provider Identifier
1033986716
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SPRING OAK LAURENS LLC
Practice address
420 W Farley Ave
Laurens, SC 29360-3039
Phone
(864) 715-3206
NPI assigned
Dec 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Jessica Olivier
Title
Executive Administrative Assistant
Phone
(732) 719-8125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

420 W Farley Ave
Laurens, SC 29360-3039

Mailing address

1514 Route 138
Wall Township, NJ 07719-3789
Phone (732) 719-8688

National Provider Directory

National Provider Directory

Locations

420 W Farley Ave
Laurens, SC 29360
Phone (864) 953-2174

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1033986716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 ROUTE 138",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193789",
            "telephone_number": "732-719-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W FARLEY AVE",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293603039",
            "telephone_number": "864-715-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING OAK LAURENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "OLIVIER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "732-719-8125"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.