NPIMap

Organization Active NPI

Abbeville Nursing Home, Inc.

  • Skilled Nursing Facility
  • Abbeville, SC
National Provider Identifier
1699784355
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF-266 Issued in SC
Legal business name
ABBEVILLE NURSING HOME, INC.
Practice address
83 Thomson Circle
Abbeville, SC 29620-0190
Phone
(864) 366-5122
Fax
(864) 366-6123
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alan L. Hughes
Title
Administrator
Phone
(864) 366-5122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCF-266 SC Primary

Addresses

Primary practice location

83 Thomson Circle
Abbeville, SC 29620-0190

Mailing address

PO Box 190
83 Thomson Circle
Abbeville, SC 29620-0190
Phone (864) 366-5122

Other identifiers 1

IdentifierTypeStateIssuer
330090MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699784355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "address_2": "83 THOMSON CIRCLE",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296200190",
            "telephone_number": "864-366-5122",
            "fax_number": "864-366-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 THOMSON CIRCLE",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296200190",
            "telephone_number": "864-366-5122",
            "fax_number": "864-366-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEVILLE NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "864-366-5122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330090",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.