Organization Active NPI

Harvest Health & Rehab of Johns Island, LLC

  • Skilled Nursing Facility
  • Johns Island, SC
National Provider Identifier
1134431208
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HARVEST HEALTH & REHAB OF JOHNS ISLAND, LLC
Practice address
3647 Maybank Hwy
Johns Island, SC 29455-4825
Phone
(843) 559-5888
Fax
(843) 559-3444
NPI assigned
Jul 6, 2010
Organization subpart
Yes
Parent organization
ARK SOUTH CAROLINA HOLDING COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Christopher J Murphy
Title
Vice President
Phone
(901) 937-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3647 Maybank Hwy
Johns Island, SC 29455-4825

Mailing address

3647 Maybank Hwy
Johns Island, SC 29455-4825
Phone (843) 559-5888

Other identifiers 1

IdentifierTypeStateIssuer
NF1014MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1134431208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3647 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554825",
            "telephone_number": "843-559-5888",
            "fax_number": "843-559-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554825",
            "telephone_number": "843-559-5888",
            "fax_number": "843-559-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST HEALTH & REHAB OF JOHNS ISLAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK SOUTH CAROLINA HOLDING COMPANY, LLC",
        "enumeration_date": "2010-07-06",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NF1014",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.