Active NPI
SH1 Silver Bluff Opco LLC
Doing business as Silver Bluff Grove Senior Living
- Assisted Living Facility
- Aiken, SC
National Provider Identifier
1336971423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SH1 SILVER BLUFF OPCO LLC
- Doing business as
- Silver Bluff Grove Senior Living
- Practice address
- 1385 Silver Bluff Rd
Aiken, SC 29803-8860 - Phone
- (036) 428-4448
- Fax
- (803) 642-7955
- NPI assigned
- Aug 16, 2024
- Last updated
- Aug 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terri Baker
- Title
- Finance and Licensing Coordinator
- Phone
- (564) 203-3620
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Alzheimer Center (Dementia Center) | 311500000X |
Addresses
Primary practice location
1385 Silver Bluff Rd
Aiken, SC 29803-8860
Mailing address
5101 NE 82ND Ave Ste 200
Vancouver, WA 98662-6343
Phone (360) 254-9442
Other names 1
- Silver Bluff Grove Senior Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1001987 | Silver Bluff Grove | Certificate of waiver | Jul 24, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723766400000",
"number": "1336971423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 NE 82ND AVE STE 200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626343",
"telephone_number": "360-254-9442",
"fax_number": "360-254-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1385 SILVER BLUFF RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298038860",
"telephone_number": "036-428-4448",
"fax_number": "803-642-7955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SH1 SILVER BLUFF OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-16",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "TERRI",
"authorized_official_title_or_position": "FINANCE AND LICENSING COORDINATOR",
"authorized_official_telephone_number": "564-203-3620"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Silver Bluff Grove Senior Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.