Palmetto St. George Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF-638 Issued in SC

Legal business name

PALMETTO ST. GEORGE OPERATING LLC

Doing business as

St. George Healthcare Center

Practice address

905 Dukes St
Saint George, SC 29477-2059

Phone

(843) 563-4602

Fax

(843) 563-8063

NPI assigned

Oct 25, 2006

Last updated

Jul 1, 2014By 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

Christine Flansburg

Title

Administrator

Phone

(843) 563-4602

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. George Healthcare Center Doing business as

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1659455442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 DUKES ST",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772059",
            "telephone_number": "843-563-4602",
            "fax_number": "843-563-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 DUKES ST",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772059",
            "telephone_number": "843-563-4602",
            "fax_number": "843-563-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ST. GEORGE OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "FLANSBURG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-563-4602"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0924NF",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. George Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Caccavo Myers, MPT
• Orangeburg Family Eye Care, LLC
• Christina Michelle Orosz, PHARMD
• Nathan Henry Page, DC
• Palmetto Primary Care Physicians, LLC (St. George Family Practice)
• Erin Peters, RN
• Ryan Phillips, D.M.D.
• Restore Health LLC
• Roxanne Robes, PTA
• Kelsey Sanders, PTA

• Skilled Nursing Facility in Saint George, SC
• Providers in Saint George, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.