Emerald Gardens of Greenwood LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

CRC-1378 Issued in SC

Legal business name

EMERALD GARDENS OF GREENWOOD LLC

Practice address

201 Overland Dr
Greenwood, SC 29646-4097

Phone

(843) 972-0483

Fax

(866) 384-8545

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Eric Hadley, MHA, NHA, FACHE

Title

VP Operations

Phone

(843) 972-0483

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821294547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OVERLAND DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464097",
            "telephone_number": "843-972-0483",
            "fax_number": "866-384-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OVERLAND DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464097",
            "telephone_number": "843-972-0483",
            "fax_number": "866-384-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD GARDENS OF GREENWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "843-972-0483",
        "authorized_official_credential": "MHA, NHA, FACHE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC-1378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Greenwood, SC
• Providers in Greenwood, 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 Aug 22, 2020; 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.