NPIMap

Organization Active NPI

FC Midlands Garden City, LLC

  • Assisted Living Facility
  • Murrells Inlet, SC
National Provider Identifier
1205200797
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FC MIDLANDS GARDEN CITY, LLC
Practice address
11951 Grandhaven Dr
Murrells Inlet, SC 29576-7843
Phone
(843) 357-0200
Fax
(843) 652-2694
NPI assigned
Nov 20, 2015
Last updated
Nov 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Scott Brown
Title
President
Phone
(770) 754-9660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11951 Grandhaven Dr
Murrells Inlet, SC 29576-7843

Mailing address

3500 Lenox Road
Suite 510
Atlanta, GA 30326
Phone (770) 754-9660

National Provider Directory

National Provider Directory
Tax ID family
Carolina Gardens at Conway2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1205200797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LENOX ROAD",
            "address_2": "SUITE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30326",
            "telephone_number": "770-754-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11951 GRANDHAVEN DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767843",
            "telephone_number": "843-357-0200",
            "fax_number": "843-652-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FC MIDLANDS GARDEN CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-754-9660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.