Organization Active NPI

Unique Care Assisted Living Facility LLC

  • Assisted Living Facility
  • Sumter, SC
National Provider Identifier
1669137162
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
UNIQUE CARE ASSISTED LIVING FACILITY LLC
Practice address
17 Edwards St
Sumter, SC 29150-4808
Phone
(803) 316-2114
Fax
(803) 757-1313
NPI assigned
Nov 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Patricia Brunson Walters
Title
Owner
Phone
(803) 316-2114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

17 Edwards St
Sumter, SC 29150-4808

Mailing address

17 Edwards St
Sumter, SC 29150-4808
Phone (803) 316-2114

Other names 1

  • Unique Care Assisted Living Facility Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2239245Unique Care Assisted Living Facility17 Edwards Street, Sumter, SC 29150Certificate of waiverOct 10, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1669137162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EDWARDS ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504808",
            "telephone_number": "803-316-2114",
            "fax_number": "803-757-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EDWARDS ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504808",
            "telephone_number": "803-316-2114",
            "fax_number": "803-757-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE CARE ASSISTED LIVING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "BRUNSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-316-2114"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unique Care Assisted Living Facility",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.