Exalted Health & Rehab of Iva, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EXALTED HEALTH & REHAB OF IVA, LLC

Practice address

406 West Broad St
Iva, SC 29655

Phone

(864) 348-7433

Fax

(864) 348-3888

NPI assigned

Jul 7, 2010

Last updated

Apr 12, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

ARK SOUTH CAROLINA HOLDING COMPANY, LLCAs reported in NPPES

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

Authorized official

Name

Christopher J Murphy

Title

Vice President

Phone

(901) 937-7994

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1750693776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "IVA",
            "state": "SC",
            "postal_code": "296551119",
            "telephone_number": "864-348-7433",
            "fax_number": "864-348-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 WEST BROAD ST",
            "city": "IVA",
            "state": "SC",
            "postal_code": "29655",
            "telephone_number": "864-348-7433",
            "fax_number": "864-348-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXALTED HEALTH & REHAB OF IVA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK SOUTH CAROLINA HOLDING COMPANY, LLC",
        "enumeration_date": "2010-07-07",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NF1023",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Lown Atkins, PHARMD
• Stephen Cayelli, MD
• Eric Cromer, DO
• Sherrie R Dansby, APRN, DNP-C
• Tanya Danette Dickerson, RN
• Akilah Fetherson, CCC-SLP
• Foothills Community Health Care, Inc
• Denise D Graham, RN
• Andrea Hays, MPT, CLT, CCI
• Beth Lynn Hughes, RN

• Skilled Nursing Facility in Iva, SC
• Providers in Iva, 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 Apr 12, 2012; 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.