Heritage Home of Florence, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF-450 Issued in SC

Legal business name

HERITAGE HOME OF FLORENCE, INC

Practice address

515 Warley St
Florence, SC 29501-5132

Phone

(843) 662-4573

Fax

(843) 662-8209

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Sherwin Welch

Title

Owner

Phone

(843) 662-4573

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1699761908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WARLEY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015132",
            "telephone_number": "843-662-4573",
            "fax_number": "843-662-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WARLEY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015132",
            "telephone_number": "843-662-4573",
            "fax_number": "843-662-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME OF FLORENCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "SHERWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-662-4573",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-450",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "SC",
            "license": "0450NH",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "SC",
            "license": "0450NH",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450NH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Henderson
• Ashley N Hennigan
• Harper Ann Henson, MS, RD, LD
• Henry Williams Herbert Jr., DMD
• Shawanna Herion
• Melissa Cribb Herlong, OTR/L
• Kirsten Hernandez
• Brandy Bryant Herndon, FNP
• Caroline Naso Herron
• John Thomas Hess, DDS

• Skilled Nursing Facility in Florence, SC
• Providers in Florence, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.