Organization Active NPI

Careassist Senior Services, LLC

Doing business as Riverdale Residential Care Facility

  • Assisted Living Facility
  • Dillon, SC
National Provider Identifier
1265755540
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CAREASSIST SENIOR SERVICES, LLC
Doing business as
Riverdale Residential Care Facility
Practice address
412 Pee Dee Church Rd
Dillon, SC 29536-7429
Phone
(843) 774-0362
Fax
(540) 834-0134
NPI assigned
Mar 1, 2010
Last updated
Mar 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Mrs. Crystal C Pavlick
Title
Owner
Phone
(540) 834-7114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

412 Pee Dee Church Rd
Dillon, SC 29536-7429

Mailing address

412 Pee Dee Church Rd
Dillon, SC 29536-7429
Phone (843) 774-0362

Other names 1

  • Riverdale Residential Care Facility Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1265755540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 PEE DEE CHURCH RD",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295367429",
            "telephone_number": "843-774-0362",
            "fax_number": "540-834-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 PEE DEE CHURCH RD",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295367429",
            "telephone_number": "843-774-0362",
            "fax_number": "540-834-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREASSIST SENIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "PAVLICK",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-834-7114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverdale Residential Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.