Greenville Rehabilitation and Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GREENVILLE REHABILITATION AND HEALTHCARE CENTER, LLC

Practice address

661 Rutherford Rd
Greenville, SC 29609-4640

Phone

(864) 232-2442

NPI assigned

Jun 9, 2014

Last updated

Dec 29, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

NEW ARK OPERATOR HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Michelle D Meer

Title

Vice President & Secretary

Phone

(629) 626-0000

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1043623853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 RUTHERFORD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094640",
            "telephone_number": "864-232-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 RUTHERFORD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094640",
            "telephone_number": "864-232-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW ARK OPERATOR HOLDINGS, LLC",
        "enumeration_date": "2014-06-09",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "MEER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "629-626-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NF1056",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C004NF",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Greenville Radiology P a
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• Greenville RX LLC
• Greenville Skilled Nursing, LLC (West Village Post Acute)
• Greenville Smiles P.a.
• Greenville Spine and Sport

• Skilled Nursing Facility in Greenville, SC
• Providers in Greenville, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.