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COMMUNITY SERVICES FOR THE AGING INC. NPI 1063409811


NPI Information

NPI: 1063409811
Provider Name: COMMUNITY SERVICES FOR THE AGING, INC.

Doing Business As: MOUNTAINVIEW NURSING HOME

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 42D0722212

Address:
340 CEDAR SPRINGS ROAD
SPARTANBURG, SC
ZIP 29302
Phone: (864) 582-4175
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COMMUNITY SERVICES FOR THE AGING, INC. is a skilled nursing facility in Spartanburg, SC. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. COMMUNITY SERVICES FOR THE AGING, INC. NPI is 1063409811. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountainview Nursing Home.

The provider's business location address is:

340 CEDAR SPRINGS ROAD
SPARTANBURG, SC
ZIP 29302
Phone: (864) 582-4175
Fax: (864) 583-2310

The provider's authorized official is Wilson K. Dillard .
The authorized official title is Administrator and has the following contact phone number (864) 582-4175.

The CLIA number assigned to this NPI record is 42D0722212 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2005 and was last updated on 12/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing FacilityNCF149SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10557800001MEDICARE NSCSOUTH CAROLINA
2291168MEDICAIDSOUTH CAROLINA
3425027MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINAMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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