Organization Active NPI

SC-Ga2018 Simpsonville Rehabilitation and Healthcare Center, LLC

  • Skilled Nursing Facility
  • Simpsonville, SC
National Provider Identifier
1124597778
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SC-GA2018 SIMPSONVILLE REHABILITATION AND HEALTHCARE CENTER, LLC
Practice address
807 SE Main St
Simpsonville, SC 29681-7150
Phone
(864) 963-6069
NPI assigned
Nov 13, 2018
Organization subpart
Yes
Parent organization
SC-GA OPERATOR HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
Alex Paley
Title
President
Phone
(914) 390-4363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

807 SE Main St
Simpsonville, SC 29681-7150

Mailing address

777 Lowndes Hill Road
BLDG. 2, Suite 101
Greenville, SC 29607
Phone (864) 688-3992

Other names 1

  • Simpsonville Rehabilitation and Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1124597778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 LOWNDES HILL ROAD",
            "address_2": "BLDG. 2, SUITE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-688-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817150",
            "telephone_number": "864-963-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC-GA2018 SIMPSONVILLE REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SC-GA OPERATOR HOLDINGS, INC.",
        "enumeration_date": "2018-11-13",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "PALEY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-390-4363"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simpsonville Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Simpsonville Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.