NPIMap

Organization Active NPI

Gencasco Inc

Doing business as Bishopville Manor

  • Assisted Living Facility
  • Bishopville, SC
National Provider Identifier
1669784526
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
RC1108 Issued in SC
Legal business name
GENCASCO INC
Doing business as
Bishopville Manor
Practice address
2779 Highway 15 N
Bishopville, SC 29010-7101
Phone
(803) 428-2222
Fax
(803) 428-2333
NPI assigned
Jul 8, 2010
Last updated
Jul 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Mrs. Cassie Timmons Jones
Title
Administration
Phone
(803) 428-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X RC1108 SC Primary

Addresses

Primary practice location

2779 Highway 15 N
Bishopville, SC 29010-7101

Mailing address

2779 Highway 15 N
Bishopville, SC 29010-7101
Phone (803) 428-2222

Other names 1

  • Bishopville Manor 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": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1669784526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2779 HIGHWAY 15 N",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290107101",
            "telephone_number": "803-428-2222",
            "fax_number": "803-428-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 HIGHWAY 15 N",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290107101",
            "telephone_number": "803-428-2222",
            "fax_number": "803-428-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENCASCO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "TIMMONS",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "803-428-2222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "RC1108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bishopville Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bishopville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.