NPIMap

Organization Active NPI

Spartanburg Hospital for Restorative Care

  • Long Term Care Hospital
  • Spartanburg, SC
National Provider Identifier
1699790485
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
HTL-0685 Issued in 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
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARTANBURG HEALTH SERVICES DISTRICT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Mrs. Anita M. Butler
Title
Ceo
Phone
(864) 560-3235

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X HTL-0685 SC Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100915000116 SC Part A Provider - Hospital 4688579048 Practice locations: Spartanburg, SC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1699790485. Details of each certification follow.

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
OtherNon-profit
Incorporated
May 1, 1995 in SC
Enrollment address
389 Serpentine Drive
Spartanburg, SC 29303-3040
Other Hospital Practice Location
Hospital subgroups
Long-term

Hospital certification: CCN 420094

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SPARTANBURG HOSP FOR RESTORATIVE CARE
Certification status
Terminated Other: provider status change, Oct 1, 1996
Provider type (POS)
Hospital – Short-term
Participating since
Feb 28, 1996
Last certification
Feb 28, 1996
Beds
27
Ownership / control type
Other
Facility address
389 Serpentine Dr
Spartanburg, SC 29303

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Spartanburg Hosp for Restorative CareCCN 422004 · All quality measures
Ownership
Government
Certified
Oct 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Beds
97

National Provider Directory

National Provider Directory
Tax ID family
Spartanburg Hospital Fo2 organizations share this tax ID, including this one
Part of
Spartanburg Regional Health Services District Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James J Harber Individual W-2 Managing EmployeeMD; May 1, 2016
Apella Health Management Inc Organization, Spartanburg, SC Non-profit Operational/Managerial Control Jan 1, 2019
Patricia Stimac Individual W-2 Managing EmployeeAd; Jun 4, 2001
Spartanburg Regional Health Services District Inc Organization, Spartaburg, SC 5% Or Greater Direct Ownership Interest May 1, 1995 100%
Charles E Morrow Individual Corporate OfficerCoo- Medical Group & Post Acute Dec 4, 2023
W-2 Managing EmployeeCoo - Medical Group & Post Acute Dec 4, 2023
Bruce a Davis Individual Corporate OfficerCfo Jan 25, 2020
W-2 Managing EmployeeCfo Jan 25, 2020
Operational/Managerial ControlCfo Jan 25, 2020

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1699790485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 SERPENTINE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033026",
            "telephone_number": "864-560-3235",
            "fax_number": "864-560-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 SERPENTINE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033026",
            "telephone_number": "864-560-3235",
            "fax_number": "864-560-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG HOSPITAL FOR RESTORATIVE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARTANBURG HEALTH SERVICES DISTRICT, INC",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-560-3235",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "SC",
            "license": "HTL-0685",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SC",
            "license": "HTL-0685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.