Organization Active NPI

Hsrcc Services, LLC

Doing business as Heath Springs Residential Care Center

  • Assisted Living Facility
  • Heath Springs, SC
National Provider Identifier
1609233725
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HSRCC SERVICES, LLC
Doing business as
Heath Springs Residential Care Center
Practice address
614 Hart St
Heath Springs, SC 29058-8411
Phone
(803) 273-3227
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Mr. Sagar V Shah
Title
Principal
Phone
(201) 819-4033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

614 Hart St
Heath Springs, SC 29058-8411

Mailing address

985 Paulison Ave
Clifton, NJ 07011-3629
Phone (201) 819-4033

Other names 1

  • Heath Springs Residential Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1011040Heath Springs Residential Care Center Inc614 Hart Street, Heath Springs, SC 29058Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory

Locations

614 Hart St
Heath Springs, SC 29058
Phone (803) 273-3227

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1609233725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PAULISON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113629",
            "telephone_number": "201-819-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 HART ST",
            "city": "HEATH SPRINGS",
            "state": "SC",
            "postal_code": "290588411",
            "telephone_number": "803-273-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSRCC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAGAR",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "201-819-4033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heath Springs Residential Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Heath Springs, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.