Organization Active NPI

Fellowship Health & Rehab of Anderson, LLC

  • Skilled Nursing Facility
  • Anderson, SC
National Provider Identifier
1174835425
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FELLOWSHIP HEALTH & REHAB OF ANDERSON, LLC
Practice address
208 James St
Anderson, SC 29625-2942
Phone
(864) 226-3427
Fax
(864) 226-7215
NPI assigned
Jul 1, 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

208 James St
Anderson, SC 29625-2942

Mailing address

208 James St
Anderson, SC 29625-2942
Phone (864) 226-3427

Other identifiers 1

IdentifierTypeStateIssuer
NF1025MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1174835425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 JAMES ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252942",
            "telephone_number": "864-226-3427",
            "fax_number": "864-226-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 JAMES ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252942",
            "telephone_number": "864-226-3427",
            "fax_number": "864-226-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP HEALTH & REHAB OF ANDERSON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK SOUTH CAROLINA HOLDING COMPANY, LLC",
        "enumeration_date": "2010-07-01",
        "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": "NF1025",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, 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.