Organization Active NPI

Sherman Residential Care

  • Nursing Care Agency
  • Greenville, SC
National Provider Identifier
1235739160
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
SHERMAN RESIDENTIAL CARE
Doing business as
Sherman Residential Care
Practice address
20 Mayfield St
Greenville, SC 29601-1815
Phone
(864) 242-0401
Fax
(864) 752-1084
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Frank L Henderson
Title
Owner
Phone
(864) 905-1768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

20 Mayfield St
Greenville, SC 29601-1815

Mailing address

16 Elm St
Greenville, SC 29605-4006
Phone (864) 905-1768

Other names 1

  • Sherman Residential Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1018904Sherman Residential Care20 Mayfield St, Greenville, SC 29601Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory

Locations

20 Mayfield St
Greenville, SC 29601
Phone (864) 242-0401

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1235739160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ELM ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054006",
            "telephone_number": "864-905-1768",
            "fax_number": "864-752-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAYFIELD ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011815",
            "telephone_number": "864-242-0401",
            "fax_number": "864-752-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-905-1768"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherman Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.