Organization Active NPI

SH1 Silver Bluff Opco LLC

Doing business as Silver Bluff Grove Senior Living

  • Assisted Living Facility
  • Aiken, SC
National Provider Identifier
1336971423
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1001987Silver Bluff Grove1385 Silver Bluff Rd, Aiken, SC 29803Certificate of waiverJul 24, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.