Active NPI
Seashar, LLC
- Assisted Living Facility
- Cayce, SC
National Provider Identifier
1194151670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- CRC-1210
- Legal business name
- SEASHAR, LLC
- Practice address
- 2306 Forrest St
Cayce, SC 29033-2124 - Phone
- (803) 794-7561
- NPI assigned
- Sep 17, 2013
- 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
- Ronald Benjamin Gunraj
- Title
- Member
- Phone
- (803) 794-7561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | CRC-1210 | SC | Primary |
Addresses
Primary practice location
2306 Forrest St
Cayce, SC 29033-2124
Mailing address
2306 Forrest St
Cayce, SC 29033-2124
Phone (803) 794-7561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CRC-1210 | Other | SC | DHEC |
Other names 1
- Twilite Manor Adult Residential Care
National Provider Directory
National Provider DirectoryLocations
2306 Forrest St
Cayce, SC 29033
Phone (803) 794-7561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379376000000",
"number": "1194151670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 FORREST ST",
"city": "CAYCE",
"state": "SC",
"postal_code": "290332124",
"telephone_number": "803-794-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 FORREST ST",
"city": "CAYCE",
"state": "SC",
"postal_code": "290332124",
"telephone_number": "803-794-7561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEASHAR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-17",
"last_updated": "2013-09-17",
"status": "A",
"authorized_official_last_name": "GUNRAJ",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "BENJAMIN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "803-794-7561"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "SC",
"license": "CRC-1210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHEC",
"identifier": "CRC-1210",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Twilite Manor Adult Residential Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cayce, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.