Organization Active NPI

Peoples Residential Care, LLC

  • Assisted Living Facility
  • Lexington, SC
National Provider Identifier
1114258803
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
RC1494 Issued in SC
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

Updated by the provider on Jan 20, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.