Thi of South Carolina Golden Age at Inman, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THI OF SOUTH CAROLINA GOLDEN AGE AT INMAN, LLC

Doing business as

Golden Age - Inman

Practice address

82 N Main St
Inman, SC 29349-1416

Phone

(864) 472-6636

Fax

(864) 472-6524

NPI assigned

Oct 7, 2006

Last updated

Apr 7, 2008By 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

Timothy Johnson

Title

President

Phone

(864) 472-6636

Specialties & licenses 1

Addresses

Other names 1

• Golden Age - Inman Doing business as

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1962599142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 N MAIN ST",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293491416",
            "telephone_number": "864-472-6636",
            "fax_number": "864-472-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF SOUTH CAROLINA GOLDEN AGE AT INMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-472-6636"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Age - Inman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Wellness Place
• Therapy Thoughts & Coaching, LLC (Frame of Mind Psychotherapy)
• Thi of South Carolina at Camp Care, LLC (Lake Emory Post Acute Care)
• Thi of South Carolina at Inman, LLC (Inman Healthcare)
• Thi of South Carolina at Magnolia Manorinman, LLC (Magnolia Manor - Inman)
• Nicolas Jordan Thomas, PT, DPT
• Megan Tokar
• Julie Hicks Traynham, PTA
• Trinity Home Care LLC
• Christina Nichole Turner

• Skilled Nursing Facility in Inman, SC
• Providers in Inman, 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 Apr 7, 2008; 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.