Organization Active NPI

Laurel Baye Healthcare of Greenville, LLC

  • Skilled Nursing Facility
  • Greenville, SC
National Provider Identifier
1831187525
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF754 Issued in SC
Legal business name
LAUREL BAYE HEALTHCARE OF GREENVILLE, LLC
Practice address
661 Rutherford Rd
Greenville, SC 29609-4640
Phone
(803) 266-3229
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Tom Tiller
Title
Cfo
Phone
(843) 216-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCF754 SC Primary

Addresses

Primary practice location

661 Rutherford Rd
Greenville, SC 29609-4640

Mailing address

661 Rutherford Rd
Greenville, SC 29609-4640
Phone (803) 266-3229

Other identifiers 1

IdentifierTypeStateIssuer
0805NFMedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1831187525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 RUTHERFORD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094640",
            "telephone_number": "803-266-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 RUTHERFORD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094640",
            "telephone_number": "803-266-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL BAYE HEALTHCARE OF GREENVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-216-6800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805NF",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.