Active NPI
Unique Care Assisted Living Facility LLC
- Assisted Living Facility
- Sumter, SC
National Provider Identifier
1669137162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2239245 | Unique Care Assisted Living Facility | Certificate of waiver | Oct 10, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.