NPIMap

Organization Active NPI

Twenty Two Pack Management Corporation

Doing business as EdenGardens of Rock Hill

  • Assisted Living Facility
  • Rock Hill, SC
National Provider Identifier
1083876742
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TWENTY TWO PACK MANAGEMENT CORPORATION
Doing business as
EdenGardens of Rock Hill
Practice address
1611 Constitution Blvd
Rock Hill, SC 29732-3047
Phone
(803) 981-6855
Fax
(803) 981-5230
NPI assigned
Jun 25, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Shay Lingerfelt
Title
Imterim Executive Director
Phone
(803) 981-6855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1611 Constitution Blvd
Rock Hill, SC 29732-3047

Mailing address

1611 Constitution Blvd
Rock Hill, SC 29732-3047
Phone (803) 981-6855

Other names 1

  • EdenGardens of Rock Hill Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eden Gardens of Concord6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1083876742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 CONSTITUTION BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323047",
            "telephone_number": "803-981-6855",
            "fax_number": "803-981-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 CONSTITUTION BLVD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323047",
            "telephone_number": "803-981-6855",
            "fax_number": "803-981-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWENTY TWO PACK MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "LINGERFELT",
        "authorized_official_first_name": "SHAY",
        "authorized_official_title_or_position": "IMTERIM EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-981-6855"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EdenGardens of Rock Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.