Active NPI
Good Samaritan Residential Care
- Assisted Living Facility
- Kingstree, SC
National Provider Identifier
1477469849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GOOD SAMARITAN RESIDENTIAL CARE
- Practice address
- 1356 Bubzy Rd
Kingstree, SC 29556-5246 - Phone
- (843) 382-3530
- Fax
- (843) 382-3560
- NPI assigned
- Aug 24, 2026
- Last updated
- Aug 24, 2026
- 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
- Pamela McClary
- Title
- Assistant Administrator
- Phone
- (803) 210-5860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1356 Bubzy Rd
Kingstree, SC 29556-5246
Mailing address
1356 Bubzy Rd
Kingstree, SC 29556-5246
Phone (843) 382-3530
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1477469849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1356 BUBZY RD",
"city": "KINGSTREE",
"state": "SC",
"postal_code": "295565246",
"telephone_number": "843-382-3530",
"fax_number": "843-382-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1356 BUBZY RD",
"city": "KINGSTREE",
"state": "SC",
"postal_code": "295565246",
"telephone_number": "843-382-3530",
"fax_number": "843-382-3560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SAMARITAN RESIDENTIAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "MCCLARY",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
"authorized_official_telephone_number": "803-210-5860"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingstree, SC
- Georgetown Hospital Home Health LLC (Amedisys Home Health of Myrtle Beach)
- Jafer Nasser Gheraibeh, M.D.
- Jalisa Vonett Gibbs
- Good Samaritan Adult Day Care
- Good Samaritan Home Care Services, LLC
- Domonique Jones Goode
- Graceful Companion Home Care LLC
- Dexter Graham
- James A. Graham Jr.
- Meridith Tara Graham, LISW CP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.