Grand Strand Senior Health Center LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

GRAND STRAND SENIOR HEALTH CENTER LLC

Practice address

4237 River Hills Dr
Suite 150
Little River, SC 29566-6444

Phone

(843) 281-2778

Fax

(843) 281-2785

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dough White

Title

Ceo

Phone

(842) 692-1104

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

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

• Grand Strand Regional Medical Center LLC

  dba Grand Strand Medical Center

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1700867223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 RIVER HILLS DR",
            "address_2": "SUITE 150",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666444",
            "telephone_number": "843-281-2778",
            "fax_number": "843-281-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 RIVER HILLS DR",
            "address_2": "SUITE 150",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295666444",
            "telephone_number": "843-281-2778",
            "fax_number": "843-281-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND STRAND SENIOR HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DOUGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "842-692-1104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3814",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiney Gore, M.ED., BCBA
• Elena Gore, MD
• Laura Gore
• Sandra Graham, FNP
• Grand Strand Regional Medical Center, LLC (Little River FSED, a department of Grand Strand Medical Center)
• Taylor Graves, APRN
• Greenwood Medical Rehabilitation
• Taylor Griffin, OTR/L, OTD
• Christin Lauren P Cummins Grigsby, PA-C
• Stephen D. Grubb, MD

• Geriatric Medicine (Family Medicine) Physician in Little River, SC
• Providers in Little River, SC by specialty
• Geriatric Medicine (Family Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.