Organization Active NPI

Mpi Management, Inc

Doing business as Stroud Nursing Home

  • Skilled Nursing Facility
  • Marietta, SC
National Provider Identifier
1447219696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF 717 Issued in SC
Legal business name
MPI MANAGEMENT, INC
Doing business as
Stroud Nursing Home
Practice address
2906 Geer Hwy
Marietta, SC 29661-9517
Phone
(864) 836-6381
Fax
(864) 836-7229
NPI assigned
Mar 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Earlene Evelyn Jones
Title
Administrator
Phone
(864) 836-6381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCF 717 SC Primary

Addresses

Primary practice location

2906 Geer Hwy
Marietta, SC 29661-9517

Mailing address

2906 Geer Hwy
P. O.Box 216
Marietta, SC 29661-9517
Phone (864) 836-6381

Other identifiers 2

IdentifierTypeStateIssuer
0717NFMedicaidSC
RCO940MedicaidSC

Other names 1

  • Stroud Nursing Home Doing business as

National Provider Directory

National Provider Directory

Locations

2906 Geer Hwy
#P
Marietta, SC 29661

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447219696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 GEER HWY",
            "address_2": "P. O.BOX 216",
            "city": "MARIETTA",
            "state": "SC",
            "postal_code": "296619517",
            "telephone_number": "864-836-6381",
            "fax_number": "864-836-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 GEER HWY",
            "city": "MARIETTA",
            "state": "SC",
            "postal_code": "296619517",
            "telephone_number": "864-836-6381",
            "fax_number": "864-836-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPI MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "EARLENE",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "864-836-6381",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF 717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0717NF",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RCO940",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stroud Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.