Organization Active NPI

Greenville Living Center, LLC

  • Skilled Nursing Facility
  • Greenville, SC
National Provider Identifier
1336165810
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF-613 Issued in SC
Legal business name
GREENVILLE LIVING CENTER, LLC
Practice address
809 Laurens Rd
Greenville, SC 29607-1914
Phone
(864) 232-8196
Fax
(864) 235-2919
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Mr. John F. Swift
Title
VP & Cfo
Phone
(864) 269-3725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCF-613 SC Primary

Addresses

Primary practice location

809 Laurens Rd
Greenville, SC 29607-1914

Mailing address

101 Grace Dr
Easley, SC 29640-9088
Phone (864) 269-3725

Other identifiers 1

IdentifierTypeStateIssuer
0613 NHMedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1336165810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GRACE DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296409088",
            "telephone_number": "864-269-3725",
            "fax_number": "864-295-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 LAURENS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071914",
            "telephone_number": "864-232-8196",
            "fax_number": "864-235-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "SWIFT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "864-269-3725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0613 NH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.