Palmetto Brookview Operating LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF-708 Issued in SC

Legal business name

PALMETTO BROOKVIEW OPERATING LLC

Practice address

510 Thompson St
Gaffney, SC 29340-3620

Phone

(864) 489-3101

Fax

(864) 489-4888

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Susan Sain

Title

Administrator

Phone

(864) 489-3101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookview Healthcare Center Doing business as

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1710061668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 THOMPSON ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293403620",
            "telephone_number": "864-489-3101",
            "fax_number": "864-489-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 THOMPSON ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293403620",
            "telephone_number": "864-489-3101",
            "fax_number": "864-489-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO BROOKVIEW OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "SAIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "864-489-3101"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0931NF",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookview Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Gaffney, SC
• Providers in Gaffney, 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 30, 2014; 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.