Sanddollar Village Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

CRC1276 Issued in SC

Legal business name

SANDDOLLAR VILLAGE ASSISTED LIVING LLC

Practice address

80 Main St
Hilton Head, SC 29926-2900

Phone

(843) 689-9143

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Jon M Harder

Title

Manager

Phone

(503) 375-9016

Specialties & licenses 2

Addresses

Other names 1

• Palm Meadows Village Assisted Living Community Doing business as

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1356563480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-375-9016",
            "fax_number": "503-485-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAIN ST",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262900",
            "telephone_number": "843-689-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDDOLLAR VILLAGE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-375-9016"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC1276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Meadows Village Assisted Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan L Sack, MD
• Isam Awni Sakati, M.D.
• Salerno Pediatric Care LLC
• Peter John Salerno, MD
• Sanddollar Court Memory Care LLC
• Doris N Santiago
• Cibele DO Carmo Santos, PHD, LPC, MDIV
• Julia Mainarda Santos, M.S.
• Jessica Draper Sarver, CRNA
• Robert Savarese, D.M.D.

• Assisted Living Facility in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.