Organization Active NPI

Grove Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
National Provider Identifier
1134465958
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GROVE MEDICAL INC
Practice address
1089 Park West Blvd
Greenville, SC 29611-6124
Phone
(864) 272-1541
Fax
(864) 272-1569
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Ms. Melissa G Selig
Title
Cfo
Phone
(864) 269-0283

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1089 Park West Blvd
Greenville, SC 29611-6124

Mailing address

1089 Park West Blvd
Greenville, SC 29611-6124
Phone (864) 272-1541

Other identifiers 1

IdentifierTypeStateIssuer
562402MedicaidSC

National Provider Directory

National Provider Directory

Locations

1089 Park West Blvd
Greenville, SC 29611
Phone (864) 269-0283

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1134465958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 PARK WEST BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296116124",
            "telephone_number": "864-272-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 PARK WEST BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296116124",
            "telephone_number": "864-272-1541",
            "fax_number": "864-272-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "SELIG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-269-0283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "562402",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.