Organization Active NPI

Glorified Health & Rehab of Greenville, LLC

  • Skilled Nursing Facility
  • Greenville, SC
National Provider Identifier
1235440900
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GLORIFIED HEALTH & REHAB OF GREENVILLE, LLC
Practice address
8 N Texas Ave
Greenville, SC 29611-5034
Phone
(864) 295-1331
Fax
(864) 269-7414
NPI assigned
Jun 28, 2010
Organization subpart
Yes
Parent organization
ARK SOUTH CAROLINA HOLDING COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 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

8 N Texas Ave
Greenville, SC 29611-5034

Mailing address

8 N Texas Ave
Greenville, SC 29611-5034
Phone (864) 295-1331

Other identifiers 1

IdentifierTypeStateIssuer
NF1016MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1235440900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N TEXAS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296115034",
            "telephone_number": "864-295-1331",
            "fax_number": "864-269-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N TEXAS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296115034",
            "telephone_number": "864-295-1331",
            "fax_number": "864-269-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIFIED HEALTH & REHAB OF GREENVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK SOUTH CAROLINA HOLDING COMPANY, LLC",
        "enumeration_date": "2010-06-28",
        "last_updated": "2012-04-12",
        "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": "NF1016",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.