Spartanburg Hospital for Restorative Care
Organization Active NPI Long Term Care Hospital · Spartanburg, SC
NPI 1699790485 · NPPES record last updated Aug 21, 2012
Key facts
- NPI
- 1699790485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Hospital 282E00000X
- License
- HTL-0685 (SC)
- Legal business name
- SPARTANBURG HOSPITAL FOR RESTORATIVE CARE
- Practice address
- 389 Serpentine Dr
Spartanburg, SC 29303-3026 - Phone
- (864) 560-3235
- Fax
- (864) 560-3158
- NPI assigned
- Jul 13, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SPARTANBURG HEALTH SERVICES DISTRICT, INC
Authorized official
- Name
- Mrs. Anita M. Butler
- Title
- Ceo
- Phone
- (864) 560-3235
Owners & managing parties with NPI records 3
-
James Jasper Harber III, M.D.
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Member of 1
Facilities with the same owner 19
Practitioners 2
-
Mit Desai, M.D.
-
David B Pitts, MD
Affiliated clinicians 3
-
Mit Desai, M.D.
-
Robert Barry Hird, M.D.
-
David B Pitts, MD
Medicare Care Compare: Long-term care hospital
- Listed as
- Spartanburg Hosp for Restorative Care
- Ownership
- Government
- Certified
- Oct 1, 1996
- Medicare certification status
- Active
- Beds
- 97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Hospital certification: CCN 422004
- Legal name
- SPARTANBURG HOSPITAL FOR RESTORATIVE CARE
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Oct 1, 1996
- Last certification
- Dec 21, 2022
- Beds
- 97
- Ownership / control type
- Hospital district or authority
- Organization structure
- Other · Non-profit
- Incorporated
- May 1, 1995 in SC
- Enrollment address
- 389 Serpentine Drive
Spartanburg, SC 29303-3040 - Hospital subgroups
- Long-term
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| James J Harber |
W-2 Managing Employee |
May 1, 2016 | |
| Apella Health Management Inc |
Operational/Managerial Control | Jan 1, 2019 | |
| Patricia Stimac |
W-2 Managing Employee |
Jun 4, 2001 | |
| Spartanburg Regional Health Services District Inc |
5% Or Greater Direct Ownership Interest | May 1, 1995 | 100% |
| Charles E Morrow |
Corporate Officer |
Dec 4, 2023 | |
| W-2 Managing Employee |
Dec 4, 2023 | ||
| Bruce a Davis |
Corporate Officer |
Jan 25, 2020 | |
| W-2 Managing Employee |
Jan 25, 2020 | ||
| Operational/Managerial Control |
Jan 25, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100915000116 | SC | Part a Provider - Hospital | 4688579048 | Practice locations: Spartanburg, SC |
National Provider Directory
- Tax ID family
- SRMC Nurse Anesthesia
- Part of
- Spartanburg Regional Health Services District Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | HTL-0685 | SC | Yes |
| General Acute Care Hospital | 282N00000X | HTL-0685 | SC |
Addresses
Primary practice location
389 Serpentine Dr
Spartanburg, SC 29303-3026
Mailing address
389 Serpentine Dr
Spartanburg, SC 29303-3026
Phone (864) 560-3235
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4202004 | Medicaid | NC | |
| A00685 | Medicaid | SC | |
| B00685 | Medicaid | SC |
Other providers in Spartanburg, SC
- Spartanburg Endodontic Associates PA
- Spartanburg Family Dentistry
- Spartanburg Health Care LLC
- Spartanburg Hospital for Restorative Care
- Spartanburg Hospital for Restorative Care
- Spartanburg Medical Center
- Spartanburg Medical Center
- Spartanburg Medical Center
- Spartanburg Medical Center
- Spartanburg Medical Center
All providers in Spartanburg, SC · Long Term Care Hospital 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 Aug 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.