Organization Active NPI

New Redeemer Health & Rehab of Pickens LLC

Doing business as Redeemer Health & Rehab of Pickens

  • Skilled Nursing Facility
  • Pickens, SC
National Provider Identifier
1780013516
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NEW REDEEMER HEALTH & REHAB OF PICKENS LLC
Doing business as
Redeemer Health & Rehab of Pickens
Practice address
138 Rosemond St
Pickens, SC 29671-2434
Phone
(864) 878-9620
Fax
(864) 878-2563
NPI assigned
Nov 2, 2013
Last updated
Nov 18, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW ARK SC OPERATOR HOLDINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Christopher J Murphy
Title
President
Phone
(901) 937-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

138 Rosemond St
Pickens, SC 29671-2434

Mailing address

138 Rosemond St
Pickens, SC 29671-2434
Phone (864) 878-9620

Other identifiers 1

IdentifierTypeStateIssuer
N1050MedicaidSC

Other names 1

  • Redeemer Health & Rehab of Pickens Doing business as

National Provider Directory

National Provider Directory

Locations

138 Rosemond St
Pickens, SC 29671
Phone (629) 262-0000

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1780013516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ROSEMOND ST",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712434",
            "telephone_number": "864-878-9620",
            "fax_number": "864-878-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 ROSEMOND ST",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712434",
            "telephone_number": "864-878-9620",
            "fax_number": "864-878-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW REDEEMER HEALTH & REHAB OF PICKENS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW ARK SC OPERATOR HOLDINGS INC",
        "enumeration_date": "2013-11-02",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N1050",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redeemer Health & Rehab of Pickens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pickens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.