Emericare Skylyn Place LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EMERICARE SKYLYN PLACE LLC

Doing business as

Emeritus at Skylyn Place Health Care Center

Practice address

1705 Skylyn Dr
Spartanburg, SC 29307-1077

Phone

(864) 582-6838

Fax

(864) 582-1270

NPI assigned

Mar 20, 2012

Last updated

Mar 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melanie Werdel

Title

Treasurer, Secretary, Evp

Phone

(206) 438-2885

Specialties & licenses 1

Addresses

Other names 1

• Emeritus at Skylyn Place Health Care Center Doing business as

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1932474103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211031",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071077",
            "telephone_number": "864-582-6838",
            "fax_number": "864-582-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERICARE SKYLYN PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "WERDEL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "TREASURER, SECRETARY, EVP",
        "authorized_official_telephone_number": "206-438-2885"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Skylyn Place Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margarite Helen Elsey, NP
• William Charles Elston, MD
• Embrace Therapy & Fitness
• Nkechinyere Emejuaiwe, M.D
• Emergency Physician Partners of South Carolina PLLC
• Emeritus Corporation (Brookdale Skylyn)
• Brittany Yeargin Emery, OT
• Will Jeffrey Emhof
• Adryan Hampton Ange Emion, CRNA
• Stacy Kimberly Emond, FNP-C

• Skilled Nursing Facility in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.