Active NPI
Southern Care, Inc.
- Assisted Living Facility
- Orangeburg, SC
National Provider Identifier
1053576645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- CRC 797
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0990320 | Longwood Plantation-Fhe, LLC | Certificate of waiver | Aug 19, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.