Spring Oak Conway

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPRING OAK CONWAY

Practice address

2310 Highway 378
Conway, SC 29527-4911

Phone

(843) 397-1010

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Olivier

Title

Executive Administrative Assistant

Phone

(732) 719-8125

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1528835295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 ROUTE 138",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193789",
            "telephone_number": "732-719-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HIGHWAY 378",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295274911",
            "telephone_number": "843-397-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING OAK CONWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "OLIVIER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "732-719-8125"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Spencer, MS PSYCHOLOGY
• Elisa Sperduto, LMSW
• Kay J. Spires, R.PH.
• Andrea Spivey
• Carolina D Los Angeles Sprague, RN
• Angela J Springer, CPM, LM
• Gloria Springs, RN
• Sarah Sprott
• Liana Srisawitri, MD
• Braedon St. Clair

• 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 Mar 12, 2024; 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.