Dundee Manor, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0521NH Issued in SC

Legal business name

DUNDEE MANOR, LLC

Practice address

710 Hwy 15-401 by-Pass West
Bennettsville, SC 29512-0858

Phone

(843) 479-6851

Fax

(843) 479-8101

NPI assigned

Jul 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Hany Joseph Hanna

Title

Administrator

Phone

(843) 479-6251

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1962401604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295120858",
            "telephone_number": "843-479-6251",
            "fax_number": "843-479-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 HWY 15-401 BY-PASS WEST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295120858",
            "telephone_number": "843-479-6851",
            "fax_number": "843-479-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDEE MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "HANY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-479-6251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "0521NH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "NCF-897",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Josephine Destefano, MA
• Maelene Dobson, MS,LCAS
• Anna Dowd
• Glenn Dowdy, RPH
• Dudley C. Beaty III, DMD, PC
• Thomas Patrick Dunne, M.D.
• Jana Ebbert, D.O.
• Edwards Chiropractic Wellness Center, P.a.
• Emotions 4Life
• Enhanced Care, LLC

• Skilled Nursing Facility in Bennettsville, SC
• Providers in Bennettsville, 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 Oct 19, 2007; 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.