Blackville Healthcare and Rehab, LLC
Organization Active NPI Skilled Nursing Facility · Blackville, SC
NPI 1477546182 · NPPES record last updated Oct 17, 2019
Key facts
- NPI
- 1477546182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- NH-755 (SC)
- Legal business name
- BLACKVILLE HEALTHCARE AND REHAB, LLC
- Practice address
- 1612 Jones Bridge Rd
Blackville, SC 29817-3066 - Phone
- (803) 284-4313
- Fax
- (803) 284-1746
- NPI assigned
- Aug 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Haim Cy Pizam
- Title
- Managing Member
- Phone
- (407) 454-9096
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH-755 | SC | Yes |
Addresses
Primary practice location
1612 Jones Bridge Rd
Blackville, SC 29817-3066
Mailing address
1612 Jones Bridge Rd
Blackville, SC 29817-3066
Phone (803) 284-4313
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NCF-1038 | Other | SC | DHEC LIC # |
Other providers in Blackville, SC
- Barnwell County Hospital
- Barnwell School District 19
- Blackville Health Investors
- Blackville Health Investors
- Blackville Health Investors Inc
- Laney Bogard
- Richard Boyles
- Carlyle Senior Care of Blackville LLC
- Carolina Rural Practice Management, Inc.
- Carolina Rural Practice Management, Inc.
All providers in Blackville, SC · Skilled Nursing Facility in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.