Organization Active NPI

Southern Care, Inc.

  • Assisted Living Facility
  • Orangeburg, SC
National Provider Identifier
1053576645
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
CRC 797 Issued in SC
Legal business name
SOUTHERN CARE, INC.
Practice address
1687 Longwood Dr
Orangeburg, SC 29118-2307
Phone
(803) 535-0250
Fax
(803) 535-0950
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Mrs. Jean C Hooker, RN
Title
Admin/President
Phone
(803) 535-0250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CRC 797 SC Primary

Addresses

Primary practice location

1687 Longwood Dr
Orangeburg, SC 29118-2307

Mailing address

1687 Longwood Dr
Orangeburg, SC 29118-2307
Phone (803) 535-0250

Other names 1

  • LONGWOOD PLANTATION Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0990320Longwood Plantation-Fhe, LLC1687 Longwood Drive, Orangeburg, SC 29118Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1053576645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 LONGWOOD DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182307",
            "telephone_number": "803-535-0250",
            "fax_number": "803-535-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 LONGWOOD DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182307",
            "telephone_number": "803-535-0250",
            "fax_number": "803-535-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "HOOKER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMIN/PRESIDENT",
        "authorized_official_telephone_number": "803-535-0250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC 797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONGWOOD PLANTATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.