SH1 Happy Woods Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SH1 HAPPY WOODS OPCO LLC

Practice address

3620 Happy Woods CT
Myrtle Beach, SC 29588-2925

Phone

(843) 298-8888

Fax

(843) 293-0078

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Terri Baker

Title

Finance and Licensing Coordinator

Phone

(564) 203-3620

Specialties & licenses 2

Addresses

Other names 1

• Myrtle Beach Grove Senior Living Doing business as

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1871325969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 NE 82ND AVE STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626343",
            "telephone_number": "360-254-9442",
            "fax_number": "360-254-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 HAPPY WOODS CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295882925",
            "telephone_number": "843-298-8888",
            "fax_number": "843-293-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH1 HAPPY WOODS OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "FINANCE AND LICENSING COORDINATOR",
        "authorized_official_telephone_number": "564-203-3620"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myrtle Beach Grove Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serenity and Beyond Counseling Services LLC
• Serenity Psychiatric Solutions LLC
• Serentity Counseling & Learning Center LLC
• Allison Sexton, M.ED.
• Thany Seyok
• Anthony Shadiack, DO
• Ari Shaeffer, DO
• Austin Shaffer, DPT
• Naishaj Shah, M.D.
• Vishal Shah, DO

• Assisted Living Facility in Myrtle Beach, SC
• Providers in Myrtle Beach, 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 16, 2024; 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.