Sanddollar Court Memory Care LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

CRC-1275 Issued in SC

Legal business name

SANDDOLLAR COURT MEMORY CARE LLC

Doing business as

Palm Meadows Court Memory Care Community

Practice address

48 Main St
Hilton Head, SC 29926-1647

Phone

(843) 342-7122

Fax

(503) 485-1279

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Jon M Harder

Title

Manager

Phone

(503) 375-9016

Specialties & licenses 2

Addresses

Other names 1

• Palm Meadows Court Memory Care Community Doing business as

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1265654396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-375-9016",
            "fax_number": "503-485-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MAIN ST",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261647",
            "telephone_number": "843-342-7122",
            "fax_number": "503-485-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDDOLLAR COURT MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-375-9016"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "SC",
            "license": "CRC-1275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Meadows Court Memory Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas P Rzeczycki
• Jonathan L Sack, MD
• Isam Awni Sakati, M.D.
• Salerno Pediatric Care LLC
• Peter John Salerno, MD
• Sanddollar Village Assisted Living LLC (Palm Meadows Village Assisted Living Community)
• Doris N Santiago
• Cibele DO Carmo Santos, PHD, LPC, MDIV
• Julia Mainarda Santos, M.S.
• Jessica Draper Sarver, CRNA

• Alzheimer Center (Dementia Center) in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Alzheimer Center (Dementia Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.