Diamond Health & Rehab of Simpsonville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DIAMOND HEALTH & REHAB OF SIMPSONVILLE, LLC

Practice address

807 SE Main St
Simpsonville, SC 29681-7150

Phone

(864) 963-6069

Fax

(864) 963-2808

NPI assigned

Jul 1, 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": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1801108154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817150",
            "telephone_number": "864-963-6069",
            "fax_number": "864-963-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817150",
            "telephone_number": "864-963-6069",
            "fax_number": "864-963-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND HEALTH & REHAB OF SIMPSONVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK SOUTH CAROLINA HOLDING COMPANY, LLC",
        "enumeration_date": "2010-07-01",
        "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": "NF1019",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mehul Desai
• Garth Byron Deshong, PHARMD
• Tameka Gloria Devlin, RN
• Antje Southwick Dew, MD
• Dialysis Newco LLC (U.S. Renal Care Powderhorn Dialysis)
• Eileen Diaz
• John Casey Dick
• Selina Dickey
• Shantel Dieter
• Anh-Hoa Dillard

• Skilled Nursing Facility in Simpsonville, SC
• Providers in Simpsonville, 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.