Thi of South Carolina Golden Age at Inman, LLC

Organization Active NPI Skilled Nursing Facility · Inman, SC

NPI 1962599142 · NPPES record last updated Apr 7, 2008

Key facts

NPI
1962599142
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
THI OF SOUTH CAROLINA GOLDEN AGE AT INMAN, LLC
Practice address
82 N Main St
Inman, SC 29349-1416
Phone
(864) 472-6636
Fax
(864) 472-6524
NPI assigned
Oct 7, 2006
Organization subpart
No

Authorized official

Name
Timothy Johnson
Title
President
Phone
(864) 472-6636

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes

Addresses

Primary practice location

82 N Main St
Inman, SC 29349-1416

Mailing address

930 Ridgebrook Rd
Sparks, MD 21152-9390
Phone (410) 773-1000

Other identifiers

IdentifierTypeStateIssuer
0857NFMedicaidSC

Other names

  • Golden Age - Inman Doing business as

Other providers in Inman, SC

All providers in Inman, SC · Skilled Nursing Facility in South Carolina

Sources for this page

Verify at the official NPI Registry.