Bishopville Manor Management Group LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BISHOPVILLE MANOR MANAGEMENT GROUP LLC

Practice address

2779 Highway 15 N
Bishopville, SC 29010-7101

Phone

(803) 428-2222

NPI assigned

May 5, 2023

Last updated

May 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anwar Howard

Title

Manager

Phone

(347) 739-4835

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1114616091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 DALTON ST",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294063961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 HIGHWAY 15 N",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290107101",
            "telephone_number": "803-428-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHOPVILLE MANOR MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-739-4835"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bishopville Drug Co Inc
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• Celestine Boone
• Rosa M Bowman
• Coleman Lynwood Bramlett Jr., D.M.D.
• Rosa E Brice
• Kenndra Neshawn Brown

• Assisted Living Facility in Bishopville, SC
• Providers in Bishopville, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.