NPIMap

Organization Active NPI

South Bay at Mt. Pleasant, LLC

  • Skilled Nursing Facility
  • Mount Pleasant, SC
National Provider Identifier
1437616414
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOUTH BAY AT MT. PLEASANT, LLC
Practice address
1400 Liberty Midtown Dr
Mount Pleasant, SC 29464-3997
Phone
(910) 642-0224
NPI assigned
Feb 26, 2019
Last updated
Mar 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Joseph V Calcutt
Title
Cfo
Phone
(910) 815-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1400 Liberty Midtown Dr
Mount Pleasant, SC 29464-3997

Mailing address

1400 Liberty Midtown Dr
Mount Pleasant, SC 29464-3997
Phone (910) 642-0224

National Provider Directory

National Provider Directory

Locations

1400 Liberty Midtown Dr
Ste 420
Mt Pleasant, SC 29464
Phone (843) 936-2801

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1437616414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LIBERTY MIDTOWN DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643997",
            "telephone_number": "910-642-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LIBERTY MIDTOWN DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643997",
            "telephone_number": "910-642-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY AT MT. PLEASANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "CALCUTT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-815-3122"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.