Active NPI
Dayspring of Johns Island
- Assisted Living Facility
- Johns Island, SC
National Provider Identifier
1922706555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- DAYSPRING OF JOHNS ISLAND
- Practice address
- 3455 Bohicket Rd
Johns Island, SC 29455-7222 - Phone
- (843) 889-9757
- NPI assigned
- Feb 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Graeme Brown Marshall, OWNER
- Title
- Administrator
- Phone
- (843) 768-5335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
3455 Bohicket Rd
Johns Island, SC 29455-7222
Mailing address
3455 Bohicket Rd
Johns Island, SC 29455-7222
Phone (843) 889-9757
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2110154 | Dayspring of Johns Island | Certificate of waiver | Mar 8, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679875200000",
"number": "1922706555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 BOHICKET RD",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294557222",
"telephone_number": "843-889-9757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 BOHICKET RD",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294557222",
"telephone_number": "843-889-9757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYSPRING OF JOHNS ISLAND",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "GRAEME",
"authorized_official_middle_name": "BROWN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "843-768-5335",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.