Organization Active NPI

BHM of Chester LLC

  • Assisted Living Facility
  • Chester, SC
National Provider Identifier
1922158583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
CRC1399 Issued in SC
Legal business name
BHM OF CHESTER LLC
Practice address
570 Center Street
Chester, SC 29706
Phone
(803) 581-7391
Fax
(803) 581-8588
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Audrey T Kazer
Title
Cheif Operating Officer
Phone
(336) 706-5740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CRC1399 SC Primary

Addresses

Primary practice location

570 Center Street
Chester, SC 29706

Mailing address

PO Box 700
Chester, SC 29706-0700
Phone (803) 581-7319

Other identifiers 1

IdentifierTypeStateIssuer
RC1399MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922158583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297060700",
            "telephone_number": "803-581-7319",
            "fax_number": "803-581-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 CENTER STREET",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "29706",
            "telephone_number": "803-581-7391",
            "fax_number": "803-581-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHM OF CHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZER",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "336-706-5740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC1399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RC1399",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.