Organization Active NPI

Burgess Residential Care

Doing business as M & M Residential Care

  • Durable Medical Equipment & Medical Supplies
  • Florence, SC
National Provider Identifier
1689847378
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BURGESS RESIDENTIAL CARE
Doing business as
M & M Residential Care
Practice address
2591 S Brehenan Dr
Florence, SC 29505-6203
Phone
(843) 496-0813
NPI assigned
Apr 2, 2008
Last updated
Jun 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Sandy Burgess
Title
Owner
Phone
(843) 496-0813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2591 S Brehenan Dr
Florence, SC 29505-6203

Mailing address

2591 S Brehenan Dr
2591 Brehenan Dr.
Florence, SC 29505-6203
Phone (843) 665-6843

Other practice location 1

408 Holiday St
Marion, SC 29571-4416
Phone (843) 665-6843

Other names 1

  • M & M Residential Care Doing business as

National Provider Directory

National Provider Directory

Locations

408 Geneva Ave
Marion, SC 29571
Phone (843) 423-0120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1689847378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 S BREHENAN DR",
            "address_2": "2591 BREHENAN DR.",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056203",
            "telephone_number": "843-665-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 S BREHENAN DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056203",
            "telephone_number": "843-496-0813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Holiday St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "SC",
            "postal_code": "295714416",
            "country_code": "US",
            "telephone_number": "843-665-6843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BURGESS RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-496-0813"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M & M Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.