Organization Active NPI

Ellen Sagar Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Union, SC
National Provider Identifier
1730174335
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
164704MedicaidSC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.