Oak Hollow of Georgetown Assisted Living Center, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OAK HOLLOW OF GEORGETOWN ASSISTED LIVING CENTER, LLC

Practice address

2902 S Island Rd
Georgetown, SC 29440-4420

Phone

(843) 545-5427

NPI assigned

May 9, 2023

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Allen Cunningham

Title

Chief Executive Officer

Phone

(919) 710-4521

Specialties & licenses 1

Addresses

Other names 1

• South Island ALF, LLC Former legal business name

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1639869225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215C CHURCH ST NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455116",
            "telephone_number": "919-710-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 S ISLAND RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294404420",
            "telephone_number": "843-545-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HOLLOW OF GEORGETOWN ASSISTED LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "919-710-4521",
        "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": "South Island ALF, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Georgetown, SC
• Providers in Georgetown, 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 May 9, 2023; 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.