Active NPI
Bevid Place LLC
- Assisted Living Facility
- Spartanburg, SC
National Provider Identifier
1942908546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BEVID PLACE LLC
- Practice address
- 2902 E Main Street Ext
Spartanburg, SC 29307-1252 - Phone
- (864) 579-0086
- NPI assigned
- Feb 22, 2023
- Last updated
- 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
- Dr. Omar Daniels
- Title
- President
- Phone
- (864) 266-3176
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
2902 E Main Street Ext
Spartanburg, SC 29307-1252
Mailing address
2902 E Main Street Ext
Spartanburg, SC 29307-1252
Phone (864) 579-0086
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Assisted Living Facility
- Spartanburg, SC
- NPI 1629768049
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": "1677024000000",
"number": "1942908546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 E MAIN STREET EXT",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293071252",
"telephone_number": "864-579-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 E MAIN STREET EXT",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293071252",
"telephone_number": "864-579-0086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVID PLACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-22",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "OMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-266-3176",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.