Organization Active NPI

Yorktowne Village Assisted Living, LLC

  • Assisted Living Facility
  • York, SC
National Provider Identifier
1326295916
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
CRC 1368 Issued in SC
Legal business name
YORKTOWNE VILLAGE ASSISTED LIVING, LLC
Practice address
40 Ross Cannon St
York, SC 29745-1341
Phone
(803) 684-0183
NPI assigned
Aug 26, 2008
Last updated
Aug 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Christopher Jones
Title
VP
Phone
(803) 684-0183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CRC 1368 SC Primary

Addresses

Primary practice location

40 Ross Cannon St
York, SC 29745-1341

Mailing address

40 Ross Cannon St
York, SC 29745-1341
Phone (803) 684-0183

Other identifiers 1

IdentifierTypeStateIssuer
RC1368MedicaidSC

National Provider Directory

National Provider Directory

Locations

40 Ross Cannon St
York, SC 29745
Phone (803) 684-0183

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1326295916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ROSS CANNON ST",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451341",
            "telephone_number": "803-684-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ROSS CANNON ST",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451341",
            "telephone_number": "803-684-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORKTOWNE VILLAGE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "803-684-0183"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC 1368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RC1368",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.