400 Moffat Opco LLC
Organization Active NPI Skilled Nursing Facility · Cheraw, SC
NPI 1699596346 · NPPES record last updated Oct 24, 2024
Key facts
- NPI
- 1699596346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- 400 MOFFAT OPCO LLC
- Practice address
- 400 Moffat Road
Cheraw, SC 29520 - Phone
- (843) 310-3131
- NPI assigned
- Oct 24, 2024
- Organization subpart
- No
Authorized official
- Name
- Rocio Andrade
- Title
- Manager
- Phone
- (843) 310-3131
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2321615 | Cheraw Post Acute | Certificate of waiver | Apr 6, 2027 |
National Provider Directory
Locations
400 Moffat Dr
Cheraw, SC 29520
Phone (843) 320-7500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
400 Moffat Road
Cheraw, SC 29520
Mailing address
331 E Main St Ste 200
Rock Hill, SC 29730-5384
Phone (843) 310-3131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0602NH | Medicaid | SC |
Other names
- Cheraw Post Acute
Other providers in Cheraw, SC
- Agape Home Health Care Services
- Lini Alappat
- Cathryn Aliceaacosta
- Amethyst Wellness Center
- Art of Daily Living, Inc
All providers in Cheraw, SC · Skilled Nursing Facility in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.