Greenville Health System
Organization Active NPI Home Health Agency · Greenville, SC
NPI 1104876465 · NPPES record last updated Aug 17, 2018
Key facts
- NPI
- 1104876465
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HHA-020 (SC)
- Legal business name
- GREENVILLE HEALTH SYSTEM
- Practice address
- 440 Roper Mountain Rd
Suite C
Greenville, SC 29615-4242 - Phone
- (864) 522-5350
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael C. Riordan
- Title
- President/Ceo
- Phone
- (864) 797-7808
Corporate family (same tax ID) 19
Change of ownership 1
Practitioners 24
-
Lynn Marie Aneskievich, CRNA
-
Aric H Black, CRNA
-
Ginger Lea Craddock, CRNA
-
George W Farquhar, CRNA
-
Kimberly Y. French, CRNA
-
Joshua Lee Hamil, CRNA
-
Jane A. Hart, CRNA
-
Jennifer Lynn Hawkins, CRNA
-
Bradley G. Hoover, CRNA
-
Mark E Hopkins, CRNA
-
Angela K Jordan, CRNA
-
Tara W Kemp, CRNA
-
Jennifer Lee Kerr, CRNA
-
Linda R. Lollis, CRNA
-
Ralph S Longello, CRNA
-
Christopher Allen Merkel, CRNA
-
Shyrl Ann Merkel, CRNA
-
Debra R Molony, CRNA
-
Frederick P. Poppe Jr., CRNA
-
Michael H Ram, CRNA
-
Paul J Reilly, CRNA
-
Freddie S. Rowland, CRNA
-
James F Schmidt, CRNA
-
James W Winget, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2016 | Change of Ownership |
Prisma Health Home Health--Upstate |
National Provider Directory
- Tax ID family
- Upstate Affiliate Org
Locations
209 Three Bridges Rd
#209
Greenville, SC 29611
106 Parkview Dr
Laurens, SC 29360
Phone (864) 454-0888
12016 N Radio Station Rd
Seneca, SC 29678
Phone (864) 882-6141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA-020 | SC | Yes |
Addresses
Primary practice location
440 Roper Mountain Rd
Suite C
Greenville, SC 29615-4242
Mailing address
1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6307
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20008887 | Other | SC | SELECT HEALTH |
| 42-7029 | Other | SC | MEDICARE ID |
| 25388 | Other | SC | PARTNERS NATIONAL |
| 8715540 | Other | SC | CIGNA |
| 7933316 | Other | SC | AETNA |
| 255673 | Medicaid | SC |
Other names
- GHS Home Health Agency
Other providers in Greenville, SC
- Greenville Health Corporation
- Greenville Health System
- Greenville Health System
- Greenville Health System
- Greenville Health System
- Greenville Health System
- Greenville Health System
- Greenville Health System
- Greenville Health System
- Greenville Health System
All providers in Greenville, SC · Home Health Agency in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.