SSC Forest City Operating Company, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SSC FOREST CITY OPERATING COMPANY, LLC

Doing business as

Forest City Health and Rehabilitation Center

Practice address

830 Bethany Church Rd
Forest City, NC 28043-8106

Phone

(828) 245-2852

Fax

(828) 248-2590

NPI assigned

Dec 15, 2005

Last updated

May 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelle C Santoro

Title

Sr Dir, Accts Receivable

Phone

(832) 467-5728

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Forest City Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1174509731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W. SAM HOUSTON PKY N.",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77041",
            "telephone_number": "832-467-6000",
            "fax_number": "832-467-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BETHANY CHURCH RD",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280438106",
            "telephone_number": "828-245-2852",
            "fax_number": "828-248-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC FOREST CITY OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR DIR, ACCTS RECEIVABLE",
        "authorized_official_telephone_number": "832-467-5728"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0474",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415314",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest City Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeast Integrative Health, PLLC
• Southern Assisted Living, LLC. (Brookdale Forest City)
• Spartanburg Medical Center (Medical Group of the Carolinas - Family Medicine - Forest City)
• Marco Antonio Spitaliere, NBC HIS
• Ryan Michael Spurlin, PA-C
• Christine Moore Stansell, M.S.P., CF-SLP
• Harold Michael Stephenson, CCC/SLP
• Russell M Stewart III, MD
• Hannah Summerlin, M.S. CF-SLP
• Wesley Summerlin

• Skilled Nursing Facility in Forest City, NC
• Providers in Forest City, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.