Oakridge Community Care Home

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

CRC-0241 Issued in SC

Legal business name

OAKRIDGE COMMUNITY CARE HOME

Practice address

2470 Old Mill Rd
Inman, SC 29349-9276

Phone

(864) 472-6979

NPI assigned

May 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Darryl Alan Mast, RPH

Title

Administrator

Phone

(864) 621-4958

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Oakridge Community Care Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oakridge Community Care Home 2

  • Assisted Living Facility
  • Inman, SC
  • NPI 1306152343
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Oakridge Community Care Home Inc

  • Long Term Care Pharmacy
  • Inman, SC
  • NPI 1699229757
  NPPES parent name

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1043655319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 OLD MILL RD",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293499276",
            "telephone_number": "864-472-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 OLD MILL RD",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293499276",
            "telephone_number": "864-472-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE COMMUNITY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "MAST",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "864-621-4958",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "SC",
            "license": "CRC-0241",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RC0241",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Movewell Chiropractic & Performance LLC
• Delilah Corrin Mullet, DPT
• Laurie Neff, COTA/L
• Jessica Nicholson
• Michael Scott O'Shields, BCBA
• Oakridge Community Care Home 2
• Oakridge Community Care Home Inc
• Oakridge Heath Care Limited Liability Company
• Sharon Packer, LPC
• Sonya Lenette Palmer, PH.D., PHARMD., MBA

• Community Health Clinic/Center in Inman, SC
• Providers in Inman, SC by specialty
• Community Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.