Organization Active NPI

Spartanburg Senior Care

  • Adult Day Care Clinic/Center
  • Spartanburg, SC
National Provider Identifier
1659307445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADC-156 Issued in SC
Legal business name
SPARTANBURG SENIOR CARE
Practice address
2375 E Main St
Suite a-307
Spartanburg, SC 29307-1434
Phone
(864) 579-7446
Fax
(864) 579-8770
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roxie J Amburn
Title
Assistant Director
Phone
(864) 579-7446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADC-156 SC Primary

Addresses

Primary practice location

2375 E Main St
Suite a-307
Spartanburg, SC 29307-1434

Mailing address

2375 E. Main St.
Suite a-307
Spartanburg, SC 29307-1435
Phone (864) 579-7446

Other identifiers 1

IdentifierTypeStateIssuer
EX0514MedicaidSC

Other names 1

  • Piedmont Adult Day Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659307445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 E. MAIN ST.",
            "address_2": "SUITE A-307",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071435",
            "telephone_number": "864-579-7446",
            "fax_number": "864-579-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E MAIN ST",
            "address_2": "SUITE A-307",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071434",
            "telephone_number": "864-579-7446",
            "fax_number": "864-579-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMBURN",
        "authorized_official_first_name": "ROXIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "864-579-7446"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "SC",
            "license": "ADC-156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0514",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.