Mount Pleasant Manor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCF896 Issued in SC

Legal business name

MOUNT PLEASANT MANOR LLC

Practice address

921 Bowman Rd
Mount Pleasant, SC 29464-3211

Phone

(843) 884-8903

Fax

(843) 849-5298

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Bruce L White

Title

Administrator

Phone

(843) 884-8903

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1831109164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 BOWMAN RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 BOWMAN RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643211",
            "telephone_number": "843-884-8903",
            "fax_number": "843-849-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT PLEASANT MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-884-8903"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0896NF",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Mosier, MD
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• Skilled Nursing Facility in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Jan 7, 2010; 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.