NPIMap

Organization Active NPI

Sandpiper Independent & Assisted Living, LLC

  • Assisted Living Facility
  • Mount Pleasant, SC
National Provider Identifier
1689280455
Registry record updated Sep 17, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SANDPIPER INDEPENDENT & ASSISTED LIVING, LLC
Practice address
1047 Anna Knapp Blvd
Mount Pleasant, SC 29464-3146
Phone
(843) 296-3985
NPI assigned
Sep 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Matthew Baker, CRCFA
Title
Executive Director
Phone
(843) 296-3985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1047 Anna Knapp Blvd
Mount Pleasant, SC 29464-3146

Mailing address

1007 Johnnie Dodds Blvd Ste 128
Mount Pleasant, SC 29464-5901
Phone (843) 296-3985

Other names 1

  • Sandpiper Courtyard Assisted Living Doing business as

National Provider Directory

National Provider Directory

Locations

1007 Johnnie Dodds Blvd
Ste 128
Mount Pleasant, SC 29464

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1689280455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 JOHNNIE DODDS BLVD STE 128",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645901",
            "telephone_number": "843-296-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 ANNA KNAPP BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643146",
            "telephone_number": "843-296-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDPIPER INDEPENDENT & ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-296-3985",
        "authorized_official_credential": "CRCFA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandpiper Courtyard Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.