Organization Active NPI

Simpsonville Rehabilitation and Healthcare Center, LLC

  • Skilled Nursing Facility
  • Simpsonville, SC
National Provider Identifier
1245669654
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SIMPSONVILLE REHABILITATION AND HEALTHCARE CENTER, LLC
Practice address
807 SE Main St
Simpsonville, SC 29681-7150
Phone
(864) 963-6069
Fax
(864) 963-2808
NPI assigned
Nov 6, 2013
Organization subpart
Yes
Parent organization
ORIANNA SC OPERATOR HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Authorized official

Name
Michelle D Meer
Title
Vice President & Secretary
Phone
(629) 626-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

807 SE Main St
Simpsonville, SC 29681-7150

Mailing address

807 SE Main St
Simpsonville, SC 29681-7150
Phone (864) 963-6069

Other identifiers 1

IdentifierTypeStateIssuer
NF1042MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1245669654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817150",
            "telephone_number": "864-963-6069",
            "fax_number": "864-963-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817150",
            "telephone_number": "864-963-6069",
            "fax_number": "864-963-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSONVILLE REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORIANNA SC OPERATOR HOLDINGS, INC.",
        "enumeration_date": "2013-11-06",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "MEER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "629-626-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NF1042",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.