Williston Healthcare and Rehab, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH-754 Issued in SC

Legal business name

WILLISTON HEALTHCARE AND REHAB, LLC

Practice address

5721 Springfield Rd
Williston, SC 29853-1917

Phone

(803) 266-3229

NPI assigned

Oct 7, 2005

Last updated

Oct 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haim Cy Pizam

Title

Managing Member

Phone

(407) 454-9096

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1750379442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 SPRINGFIELD RD",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298531917",
            "telephone_number": "803-266-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 SPRINGFIELD RD",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298531917",
            "telephone_number": "803-266-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLISTON HEALTHCARE AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "PIZAM",
        "authorized_official_first_name": "HAIM",
        "authorized_official_middle_name": "CY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-454-9096"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NH-754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nachelle Sweat
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• Walgreen Co (Walgreens #19057)
• Richard Jeremy Wallace, PA-C
• Jonathan West, PHARMD
• Williston Rescue Squad
• Janice Dukes Wright, MSP, CCC-SLP
• Brittany Wyndham
• Amy E Zorn, RPH

• Skilled Nursing Facility in Williston, SC
• Providers in Williston, 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 Oct 17, 2019; 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.