Lancaster Convalescent Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF551 Issued in SC

Legal business name

LANCASTER CONVALESCENT CENTER INC

Practice address

2044 Pageland Hwy
Lancaster, SC 29720-7608

Phone

(803) 285-7907

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Myria Polydorou, CPA

Title

VF Finance

Phone

(864) 582-8983

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215024161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5419",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045419",
            "telephone_number": "864-582-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2044 PAGELAND HWY",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297207608",
            "telephone_number": "803-285-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER CONVALESCENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLYDOROU",
        "authorized_official_first_name": "MYRIA",
        "authorized_official_title_or_position": "VF FINANCE",
        "authorized_official_telephone_number": "864-582-8983",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0551NH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lancaster Anesthesia & Associates, PA
• Lancaster Childrens Home Inc
• Lancaster Chiropractic Center
• Lancaster Clinic Corp
• Lancaster Clinic Corp
• Lancaster County Commission on Alcohol and Drug Abuse
• Lancaster County Council on Aging, Inc
• Lancaster County School District
• Lancaster Eye Center
• Lancaster Eye Clinic P.a.

• Skilled Nursing Facility in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.