Organization Active NPI

Gables on Pelham Retirement, LLC

Doing business as Gables on Pelham Skilled Nursing and Rehab

  • Skilled Nursing Facility
  • Greenville, SC
National Provider Identifier
1851187769
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GABLES ON PELHAM RETIREMENT, LLC
Doing business as
Gables on Pelham Skilled Nursing and Rehab
Practice address
1306 Pelham Rd
Greenville, SC 29615-3600
Phone
(864) 286-6600
Fax
(704) 246-1621
NPI assigned
Apr 17, 2025
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Benjamin Thompson
Title
Ceo
Phone
(704) 815-7341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1306 Pelham Rd
Greenville, SC 29615-3600

Mailing address

3530 Toringdon Way Ste 204
Charlotte, NC 28277-3436
Phone (704) 246-1620

Other names 2

  • Gables on Pelham Skilled Nursing and Rehab Doing business as
  • Gables on Pelham Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1851187769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 TORINGDON WAY STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773436",
            "telephone_number": "704-246-1620",
            "fax_number": "704-246-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153600",
            "telephone_number": "864-286-6600",
            "fax_number": "704-246-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABLES ON PELHAM RETIREMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-815-7341"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gables on Pelham Skilled Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gables on Pelham",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 17, 2025; 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.