Shavan, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

SHAVAN, LLC

Practice address

127 S Herlong Ave
Rock Hill, SC 29732-1100

Phone

(803) 327-8655

NPI assigned

Mar 2, 2018

Organization subpart

No

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

Authorized official

Name

Shannon Elizabeth SmithNPI 1487770384

Title

Owner

Phone

(803) 327-8655

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Elizabeth Smith, LPTA

  • Physical Therapy Assistant
  • Rock Hill, SC
  • NPI 1487770384
  NPD Authorized official

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1881196186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2444",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764010040",
            "telephone_number": "254-918-5388",
            "fax_number": "844-269-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321100",
            "telephone_number": "803-327-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-327-8655"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatanasika Lavonne Shannon
• Deovyaas S Sharma, M.D.
• Manish Sharma, MD
• Henry Drummond Sharp III, DMD
• Madison Drummond Sharp, DMD
• Adam Robert Sheetz
• Jennifer E Shelley
• Linda S Shenton, ACNP
• Mary Jane Shepard, RN
• Stephen H Shepard, PA

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.