SPARTANBURG SENIOR CARE NPI 1659307445

NPI Information

NPI: 1659307445
Provider Name: SPARTANBURG SENIOR CARE

Doing Business As: PIEDMONT ADULT DAY CARE

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
2375 E MAIN ST
SUITE A-307
SPARTANBURG, SC
ZIP 29307
Phone: (864) 579-7446
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SPARTANBURG SENIOR CARE is an adult day care clinic center in Spartanburg, SC. SPARTANBURG SENIOR CARE NPI is 1659307445. The provider is registered as an organization entity type.
The provider Is Doing Business As Piedmont Adult Day Care.

The provider's business location address is:

2375 E MAIN ST
SUITE A-307
SPARTANBURG, SC
ZIP 29307-434
Phone: (864) 579-7446
Fax: (864) 579-8770

The provider's authorized official is Roxie J Amburn .
The authorized official title is Assistant Director and has the following contact phone number (864) 579-7446.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	ADC-156	SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	EX0514	MEDICAID	SOUTH CAROLINA

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

NPI Synchronization or Removal

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