NPIMap

Organization Active NPI

Morningside of Beaufort, LLC

Doing business as Morningside of Beaufort

  • Assisted Living Facility
  • Beaufort, SC
National Provider Identifier
1386683720
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
CRC-1267 Issued in SC
Legal business name
MORNINGSIDE OF BEAUFORT, LLC
Doing business as
Morningside of Beaufort
Practice address
109 Old Salem Rd
Beaufort, SC 29902-5113
Phone
(843) 982-0220
Fax
(843) 982-5759
NPI assigned
Jun 4, 2006
Last updated
Jun 27, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MORNINGSIDE OF BEAUFORT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Bruce J Mackey Jr.
Title
President & Chief Executive Officer
Phone
(617) 796-8214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CRC-1267 SC Primary

Addresses

Primary practice location

109 Old Salem Rd
Beaufort, SC 29902-5113

Mailing address

400 Centre St
Newton, MA 02458-2094
Phone (617) 796-8387

Other names 1

  • Morningside of Beaufort Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morningside of Camden LLC9 organizations share this tax ID, including this one
Part of
Morningside of Camden LLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

109 Old Salem Rd
Beaufort, SC 29902
Phone (843) 310-9690

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1386683720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582094",
            "telephone_number": "617-796-8387",
            "fax_number": "617-796-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OLD SALEM RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025113",
            "telephone_number": "843-982-0220",
            "fax_number": "843-982-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE OF BEAUFORT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORNINGSIDE OF BEAUFORT, LLC",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8214",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC-1267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside of Beaufort",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.