Organization Active NPI

Capstone Health & Rehab of Easley, LLC

  • Skilled Nursing Facility
  • Easley, SC
National Provider Identifier
1629380787
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CAPSTONE HEALTH & REHAB OF EASLEY, LLC
Practice address
1850 Crestview Rd
Easley, SC 29642-3528
Phone
(864) 859-3236
Fax
(864) 442-9847
NPI assigned
Jul 6, 2010
Last updated
Apr 13, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ARK SOUTH CAROLINA HOLDING COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Adrienne J Murphy
Title
Vice President
Phone
(901) 937-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1850 Crestview Rd
Easley, SC 29642-3528

Mailing address

1850 Crestview Rd
Easley, SC 29642-3528
Phone (864) 859-3236

Other identifiers 1

IdentifierTypeStateIssuer
NF1018MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1629380787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 CRESTVIEW RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423528",
            "telephone_number": "864-859-3236",
            "fax_number": "864-442-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CRESTVIEW RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423528",
            "telephone_number": "864-859-3236",
            "fax_number": "864-442-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE HEALTH & REHAB OF EASLEY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK SOUTH CAROLINA HOLDING COMPANY, LLC",
        "enumeration_date": "2010-07-06",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NF1018",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.