NPIMap

Organization Active NPI

Oakridge Community Care Home 2

  • Assisted Living Facility
  • Inman, SC
National Provider Identifier
1306152343
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
RC0429 Issued in SC
Legal business name
OAKRIDGE COMMUNITY CARE HOME 2
Practice address
35 S Howard St
Inman, SC 29349-1339
Phone
(864) 205-6324
NPI assigned
Aug 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Authorized official

Name
Mr. Darryl Mast
Title
Administrator
Phone
(864) 621-4958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X RC0429 SC Primary

Addresses

Primary practice location

35 S Howard St
Inman, SC 29349-1339

Mailing address

2470 Old Mill Rd
Inman, SC 29349-9276
Phone (864) 621-4958

Other identifiers 1

IdentifierTypeStateIssuer
RCO429MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Oakridge Community Care Home Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

35 S Howard St
Inman, SC 29349
Phone (803) 531-0061

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1306152343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 OLD MILL RD",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293499276",
            "telephone_number": "864-621-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S HOWARD ST",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293491339",
            "telephone_number": "864-205-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE COMMUNITY CARE HOME 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "MAST",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "864-621-4958",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "RC0429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RCO429",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.