Active NPI
Johnsonville Adult Care Services, LLC
- Assisted Living Facility
- Johnsonville, SC
National Provider Identifier
1366780298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- CRC-1530
- Legal business name
- JOHNSONVILLE ADULT CARE SERVICES, LLC
- Practice address
- 351 S. Midway Highway
Johnsonville, SC 29555 - Phone
- (843) 380-0777
- Fax
- (843) 380-1571
- NPI assigned
- Jan 28, 2013
- Last updated
- Jan 28, 2013
- 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
- Mrs. Rhonda Hart Robinson
- Title
- Administrator
- Phone
- (843) 625-1290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | CRC-1530 | SC | Primary |
Addresses
Primary practice location
351 S. Midway Highway
Johnsonville, SC 29555
Mailing address
351 S. Midway Highway
P.O. Box 1118
Johnsonville, SC 29555
Phone (843) 380-0777
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 |
|---|---|---|---|
| 42D2209210 | Johnsonville Adult Care Services | Certificate of waiver | Jan 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
351 S Midway Hwy
Johnsonville, SC 29555
Phone (843) 380-0777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359331200000",
"number": "1366780298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 S. MIDWAY HIGHWAY",
"address_2": "P.O. BOX 1118",
"city": "JOHNSONVILLE",
"state": "SC",
"postal_code": "29555",
"telephone_number": "843-380-0777",
"fax_number": "843-380-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 S. MIDWAY HIGHWAY",
"city": "JOHNSONVILLE",
"state": "SC",
"postal_code": "29555",
"telephone_number": "843-380-0777",
"fax_number": "843-380-1571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSONVILLE ADULT CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-28",
"last_updated": "2013-01-28",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "RHONDA",
"authorized_official_middle_name": "HART",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "843-625-1290",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "SC",
"license": "CRC-1530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnsonville, SC
- Health Care Partners of South Carolina, Inc.
- Health Care Partners of South Carolina, Inc. (Health Care Partners Pharmacy-Johnsonville)
- Christine Shutter Hodges
- HRM RX
- Wanda Raye Hughes, MA , CCC-SLP
- Johnsonville Adult Day Center
- Johnsonville Rescue Squad and Ambulance Service Inc
- Patricia Lewis
- Lower Florence County Hospital (Pee Dee Family Practice Johnsonville)
- Lower Florence County Hospital (Pee Dee Family Practice - Johnsonville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.