GDS Enterprises LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GDS ENTERPRISES LLC

Practice address

117 Chalk St
Eastover, SC 29044-8963

Phone

(803) 960-5267

NPI assigned

May 10, 2024

Last updated

Jul 29, 2024By 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

Sara Deveaux

Title

Owner

Phone

(803) 960-5267

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Napoleon Deveaux

  • Licensed Vocational Nurse
  • Eastover, SC
  • NPI 1215623921
  NPD

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1780432054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CHALK ST",
            "city": "EASTOVER",
            "state": "SC",
            "postal_code": "290448963",
            "telephone_number": "803-960-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CHALK ST",
            "city": "EASTOVER",
            "state": "SC",
            "postal_code": "290448963",
            "telephone_number": "803-960-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDS ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "DEVEAUX",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-960-5267"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eau Claire Cooperative Health Center, Inc. (Eastover Cooperative Pharmacy)
• Eau Claire Cooperative Health Center, Inc. (Eastover Cooperative Pharmacy)
• Eau Claire Cooperative Health Center, Inc. (Eastover Family Practice)
• Stephanie Frison
• Wanda Kay Fulton, FNP-BC
• Linda Dawn Jenness-McClellan, PH.D.
• Juveniles Upholding Morals and Priciples of Society
• Marguerite Lovett Knox, NURSE PRACTITIONER
• Samuel Andrew Lee, RDN
• Lucille Manor Community Residential Care, LLP

• Assisted Living Facility in Eastover, SC
• Providers in Eastover, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.