NPIMap

Organization Active NPI

Morningside of Anderson LP

Doing business as The Haven in the Village at Chanticleer

  • Alzheimer Center (Dementia Center)
  • Greenville, SC
National Provider Identifier
1881825271
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
MORNINGSIDE OF ANDERSON LP
Doing business as
The Haven in the Village at Chanticleer
Practice address
355 Berkmans Lane
Greenville, SC 29605
Phone
(864) 467-0031
NPI assigned
Aug 3, 2009
Last updated
Jun 27, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MORNINGSIDE OF ANDERSON LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Bruce J Mackey Jr.
Title
President Chief Executive Officer
Phone
(617) 796-8214

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X CRC-1244 SC
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

355 Berkmans Lane
Greenville, SC 29605

Mailing address

400 Centre Street
Newton, MA 02458
Phone (617) 796-8160

Other names 1

  • The Haven in the Village at Chanticleer Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morningside of Anderson LP3 organizations share this tax ID, including this one
Part of
Morningside of Anderson LP

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1881825271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02458",
            "telephone_number": "617-796-8160",
            "fax_number": "617-796-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BERKMANS LANE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-467-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE OF ANDERSON LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORNINGSIDE OF ANDERSON LP",
        "enumeration_date": "2009-08-03",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT  CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8214",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "SC",
            "license": "CRC-1244",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Haven in the Village at Chanticleer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 27, 2016; 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.