Organization Active NPI

Dayspring of Johns Island

  • Assisted Living Facility
  • Johns Island, SC
National Provider Identifier
1922706555
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Mar 27, 2023

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2110154Dayspring of Johns Island3455 Bohicket Road, Johns Island, SC 29455Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.