Active NPI
Ellen Sagar Nursing Home
- Nursing Facility/Intermediate Care Facility
- Union, SC
National Provider Identifier
1730174335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- ELLEN SAGAR NURSING HOME
- Practice address
- 1817 Jonesville Hwy
Union, SC 29379-9793 - Phone
- (864) 466-0350
- Fax
- (864) 427-2666
- NPI assigned
- Sep 20, 2005
- Last updated
- Mar 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Anne O Winn
- Title
- Administrator
- Phone
- (864) 466-0350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NU | Primary |
Addresses
Primary practice location
1817 Jonesville Hwy
Union, SC 29379-9793
Mailing address
1817 Jonesville Hwy
Union, SC 29379-9793
Phone (864) 466-0350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164704 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1730174335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 JONESVILLE HWY",
"city": "UNION",
"state": "SC",
"postal_code": "293799793",
"telephone_number": "864-466-0350",
"fax_number": "864-427-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 JONESVILLE HWY",
"city": "UNION",
"state": "SC",
"postal_code": "293799793",
"telephone_number": "864-466-0350",
"fax_number": "864-427-2666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLEN SAGAR NURSING HOME",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "WINN",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "864-466-0350",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164704",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.