NPIMap

Organization Active NPI

Conway Hospital Long Term Care Services, Inc

  • Skilled Nursing Facility
  • Conway, SC
National Provider Identifier
1528062544
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF-518 Issued in SC
Legal business name
CONWAY HOSPITAL LONG TERM CARE SERVICES, INC
Practice address
2379 Cypress Cir
Conway, SC 29526-8921
Phone
(843) 347-8179
Fax
(843) 234-5147
NPI assigned
Jun 8, 2005
Organization subpart
Yes
Parent organization
CONWAY HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Mrs. Laura L. Fowler
Title
Administrator
Phone
(843) 347-8179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCF-518 SC Primary

Addresses

Primary practice location

2379 Cypress Cir
Conway, SC 29526-8921

Mailing address

PO Box 1496
Conway, SC 29528-1496
Phone (843) 347-8179

Other identifiers 1

IdentifierTypeStateIssuer
0518NHMedicaidSC

Other names 1

  • Kingston Nursing Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Conway Hospital Long Term Care Services Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1528062544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1496",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295281496",
            "telephone_number": "843-347-8179",
            "fax_number": "843-234-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2379 CYPRESS CIR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268921",
            "telephone_number": "843-347-8179",
            "fax_number": "843-234-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY HOSPITAL LONG TERM CARE SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONWAY HOSPITAL, INC",
        "enumeration_date": "2005-06-08",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-347-8179",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0518NH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingston Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.