Active NPI
Peoples Residential Care, LLC
- Assisted Living Facility
- Lexington, SC
National Provider Identifier
1114258803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- RC1494
- Legal business name
- PEOPLES RESIDENTIAL CARE, LLC
- Practice address
- 120 Addy LN
Lexington, SC 29072-3405 - Phone
- (803) 951-8591
- Fax
- (803) 951-8591
- NPI assigned
- Jan 20, 2010
- 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
- Ms. Tiffany Renee' Peoples
- Title
- Administrator
- Phone
- (803) 951-8591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | RC1494 | SC | Primary |
Addresses
Primary practice location
120 Addy LN
Lexington, SC 29072-3405
Mailing address
120 Addy LN
Lexington, SC 29072-3405
Phone (803) 951-8591
National Provider Directory
National Provider DirectoryLocations
120 Addy Ln
Lexington, SC 29072
Phone (803) 490-1428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263945600000",
"number": "1114258803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 ADDY LN",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290723405",
"telephone_number": "803-951-8591",
"fax_number": "803-951-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ADDY LN",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290723405",
"telephone_number": "803-951-8591",
"fax_number": "803-951-8591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEOPLES RESIDENTIAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-20",
"last_updated": "2010-01-20",
"status": "A",
"authorized_official_last_name": "PEOPLES",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "RENEE'",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "803-951-8591",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "SC",
"license": "RC1494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.