Active NPI
SH1 Hardin Opco LLC
- Assisted Living Facility
- Lancaster, SC
National Provider Identifier
1699555177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SH1 HARDIN OPCO LLC
- Practice address
- 1004 Hardin St
Lancaster, SC 29720-1609 - Phone
- (803) 801-1288
- Fax
- (803) 289-1778
- NPI assigned
- Oct 3, 2023
- 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
- Terri Lynn Baker
- Title
- Licensing Coordinator
- Phone
- (503) 998-5810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1004 Hardin St
Lancaster, SC 29720-1609
Mailing address
5101 NE 82ND Ave Ste 200
Vancouver, WA 98662-6343
Phone (360) 254-9442
Other names 1
- Lancaster Grove Senior Living
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 |
|---|---|---|---|
| 42D0981606 | Lancaster Grove | Certificate of waiver | Jan 1, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696291200000",
"number": "1699555177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 NE 82ND AVE STE 200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626343",
"telephone_number": "360-254-9442",
"fax_number": "360-254-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 HARDIN ST",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297201609",
"telephone_number": "803-801-1288",
"fax_number": "803-289-1778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SH1 HARDIN OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "TERRI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "LICENSING COORDINATOR",
"authorized_official_telephone_number": "503-998-5810"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lancaster Grove Senior Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.