Active NPI
Senior Beats LLC
- Adult Day Care Clinic/Center
- Greenville, SC
National Provider Identifier
1740157072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- SENIOR BEATS LLC
- Practice address
- 716 E Fairfield Rd Ste 107
Greenville, SC 29605-3688 - Phone
- (864) 419-0167
- NPI assigned
- Oct 21, 2025
- 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. Gwendolyn Jackson, MBA LCSW
- Title
- Administrator
- Phone
- (864) 419-0167
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
716 E Fairfield Rd Ste 107
Greenville, SC 29605-3688
Mailing address
716 E Fairfield Rd Ste 107
Greenville, SC 29605-3688
Phone (864) 419-0167
National Provider Directory
National Provider DirectoryLocations
716 E Fairfield Rd
Ste 107
Greenville, SC 29605
Phone (864) 419-0167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1740157072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 E FAIRFIELD RD STE 107",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296053688",
"telephone_number": "864-419-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 E FAIRFIELD RD STE 107",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296053688",
"telephone_number": "864-419-0167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR BEATS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-21",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "GWENDOLYN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "864-419-0167",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBA LCSW"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.