Organization Active NPI

Rock Hill Medserve LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Rock Hill, SC
National Provider Identifier
1972590156
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
ROCK HILL MEDSERVE LLC
Practice address
420 S Herlong Ave
Suite 102
Rock Hill, SC 29732-9810
Phone
(803) 327-8655
Fax
(803) 327-8664
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Mrs. Jeanne S Neely
Title
Administrator
Phone
(803) 327-8655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

420 S Herlong Ave
Suite 102
Rock Hill, SC 29732-9810

Mailing address

420 S Herlong Ave
Suite 102
Rock Hill, SC 29732-9810
Phone (803) 327-8655

Other identifiers 1

IdentifierTypeStateIssuer
GP4011MedicaidSC

National Provider Directory

National Provider Directory

Locations

420 Herlong Ave S
Ste 102
Rock Hill, SC 29732
Phone (803) 327-8655

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1972590156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S HERLONG AVE",
            "address_2": "SUITE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329810",
            "telephone_number": "803-327-8655",
            "fax_number": "803-327-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S HERLONG AVE",
            "address_2": "SUITE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329810",
            "telephone_number": "803-327-8655",
            "fax_number": "803-327-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK HILL MEDSERVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-327-8655",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4011",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.