Palmetto Health

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

HTL739 Issued in SC

Legal business name

PALMETTO HEALTH

Doing business as

Palmetto Health Rehabilitation Center SNF

Practice address

1330 Taylor at Marion Street
Columbia, SC 29201-0001

Phone

(803) 296-2548

Fax

(803) 296-7950

NPI assigned

May 18, 2006

Last updated

Oct 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas B Eckert, CPAM

Title

Corporate Director

Phone

(803) 296-2254

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palmetto Health Rehabilitation Center SNF Doing business as

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1396798419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402141",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842141",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 TAYLOR AT MARION STREET",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292010001",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "803-296-2254",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPAM"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "HTL739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418962",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Health Rehabilitation Center SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Columbia, SC
• Providers in Columbia, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.