Active NPI
Oak Hollow of Sumter Rehabilitation Center LLC
- Skilled Nursing Facility
- Sumter, SC
National Provider Identifier
1144947912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OAK HOLLOW OF SUMTER REHABILITATION CENTER LLC
- Practice address
- 1761 Pinewood Rd
Sumter, SC 29154-9056 - Phone
- (803) 481-8591
- Fax
- (806) 481-8601
- NPI assigned
- Oct 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Allen Cunningham
- Title
- Chief Executive Offficer
- Phone
- (919) 710-4521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1761 Pinewood Rd
Sumter, SC 29154-9056
Mailing address
416 Nuway Cir TRLR 25
Lenoir, NC 28645-9004
Phone (919) 710-4521
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0713811 | Oak Hollow of Sumter Rehabilitation Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666569600000",
"number": "1144947912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 NUWAY CIR TRLR 25",
"city": "LENOIR",
"state": "NC",
"postal_code": "286459004",
"telephone_number": "919-710-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 PINEWOOD RD",
"city": "SUMTER",
"state": "SC",
"postal_code": "291549056",
"telephone_number": "803-481-8591",
"fax_number": "806-481-8601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK HOLLOW OF SUMTER REHABILITATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFFICER",
"authorized_official_telephone_number": "919-710-4521",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.