Ashlan Village Retirement Community

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ASHLAN VILLAGE RETIREMENT COMMUNITY

Practice address

415 Brenda Way
Lyman, SC 29365

Phone

(864) 949-7825

NPI assigned

Jul 29, 2008

Last updated

Jul 29, 2008By 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

Alton G. Free

Title

Executive Director

Phone

(864) 949-7825

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1649436791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BRENDA WAY",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "29365",
            "telephone_number": "864-949-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BRENDA WAY",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "29365",
            "telephone_number": "864-949-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAN VILLAGE RETIREMENT COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "FREE",
        "authorized_official_first_name": "ALTON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-949-7825"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lyman, SC
• Providers in Lyman, 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 Jul 29, 2008; 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.