Organization Active NPI

Promise Kept LLC

Doing business as Quiet Acres Personal Care

  • Assisted Living Facility
  • Hodges, SC
National Provider Identifier
1164819132
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
CRC 0588 Issued in SC
Legal business name
PROMISE KEPT LLC
Doing business as
Quiet Acres Personal Care
Practice address
2968 Old Douglas Mill Rd
Hodges, SC 29653-8930
Phone
(864) 446-2264
Fax
(864) 446-3769
NPI assigned
Apr 17, 2015
Last updated
Apr 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Stephanie Mullins
Title
Owner
Phone
(864) 378-3848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CRC 0588 SC Primary

Addresses

Primary practice location

2968 Old Douglas Mill Rd
Hodges, SC 29653-8930

Mailing address

173 Maggie LN
Abbeville, SC 29620-4603
Phone (864) 378-3848

Other names 1

  • Quiet Acres Personal Care Doing business as

National Provider Directory

National Provider Directory

Locations

2968 Old Douglas Mill Rd
Hodges, SC 29653
Phone (864) 446-2264

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1164819132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MAGGIE LN",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296204603",
            "telephone_number": "864-378-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2968 OLD DOUGLAS MILL RD",
            "city": "HODGES",
            "state": "SC",
            "postal_code": "296538930",
            "telephone_number": "864-446-2264",
            "fax_number": "864-446-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE KEPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-378-3848"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC 0588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quiet Acres Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hodges, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.