Organization Active NPI

Twenty Two Pack Management Corp.

  • Assisted Living Facility
  • Aiken, SC
National Provider Identifier
1194136366
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
CRC-1316 Issued in SC
Legal business name
TWENTY TWO PACK MANAGEMENT CORP.
Practice address
1385 Silver Bluff Rd
Aiken, SC 29803-8860
Phone
(803) 642-8444
Fax
(803) 642-7955
NPI assigned
May 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Thomas Mitchell
Title
Treasurer
Phone
(772) 492-5002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CRC-1316 SC Primary

Addresses

Primary practice location

1385 Silver Bluff Rd
Aiken, SC 29803-8860

Mailing address

1440 Highway A1A
Vero Beach, FL 32963-2310
Phone (772) 492-5002

Other names 1

  • HarborChase of Aiken Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eden Gardens of Concord6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1194136366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 HIGHWAY A1A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632310",
            "telephone_number": "772-492-5002",
            "fax_number": "772-492-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 SILVER BLUFF RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038860",
            "telephone_number": "803-642-8444",
            "fax_number": "803-642-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWENTY TWO PACK MANAGEMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "772-492-5002"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC-1316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HarborChase of Aiken",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.