Organization Active NPI

1516 Grays Highway SC Opco LLC

  • Skilled Nursing Facility
  • Ridgeland, SC
National Provider Identifier
1902769771
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
1516 GRAYS HIGHWAY SC OPCO LLC
Practice address
1516 Grays Hwy
Ridgeland, SC 29936-5440
Phone
(843) 726-5581
Fax
(843) 726-3741
NPI assigned
Dec 8, 2025
Last updated
Dec 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Josef Neuman
Title
Authorized Signatory
Phone
(718) 916-1443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1516 Grays Hwy
Ridgeland, SC 29936-5440

Mailing address

1516 Grays Hwy
Ridgeland, SC 29936-5440
Phone (843) 726-5581

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1902769771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 GRAYS HWY",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299365440",
            "telephone_number": "843-726-5581",
            "fax_number": "843-726-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 GRAYS HWY",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299365440",
            "telephone_number": "843-726-5581",
            "fax_number": "843-726-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1516 GRAYS HIGHWAY SC OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "718-916-1443"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.