FC Midlands Conway, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FC MIDLANDS CONWAY, LLC

Practice address

2320 Highway 378
Conway, SC 29527-4911

Phone

(843) 397-2273

Fax

(843) 397-0761

NPI assigned

Aug 18, 2015

Organization subpart

No

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

Authorized official

Name

Scott Brown

Title

President

Phone

(770) 754-9660

Specialties & licenses 1

Addresses

Other names 1

• Carolina Gardens at Conway Doing business as

Tax ID family

Carolina Gardens at Conway2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• FC Midlands Garden City, LLC

  • Assisted Living Facility
  • Murrells Inlet, SC
  • NPI 1205200797
  NPD tax ID

Locations

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1487020087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LENOX ROAD",
            "address_2": "SUITE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30326",
            "telephone_number": "770-754-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HIGHWAY 378",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295274911",
            "telephone_number": "843-397-2273",
            "fax_number": "843-397-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FC MIDLANDS CONWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-754-9660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Gardens at Conway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel A. Falk, D.C.
• Rosalie Farace, RN
• Colleen Elizabeth Farley, FNP-BC
• Sandra Ann Farnum, NP
• Robert James Farrar, DMD
• Christina Ann Feathers, BS
• Hartmut Fege, D.MIN
• Kathryn Myers Fellner, DNAP CRNA
• Suzanne Fennell
• Jon-Christopher Fenyo

• Assisted Living Facility in Conway, SC
• Providers in Conway, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.