Provider Type Icon

HERITAGE HOME OF FLORENCE INC NPI 1699761908


NPI Information

NPI: 1699761908
Provider Name: HERITAGE HOME OF FLORENCE, INC
Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 42D0877810

Address:
515 WARLEY ST
FLORENCE, SC
ZIP 29501
Phone: (843) 662-4573
Get Directions

HERITAGE HOME OF FLORENCE, INC is a skilled nursing facility in Florence, 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. HERITAGE HOME OF FLORENCE, INC NPI is 1699761908. The provider is registered as an organization entity type.

The provider's business location address is:

515 WARLEY ST
FLORENCE, SC
ZIP 29501-132
Phone: (843) 662-4573
Fax: (843) 662-8209

The provider's authorized official is Sherwin Welch .
The authorized official title is Owner and has the following contact phone number (843) 662-4573.

The CLIA number assigned to this NPI record is 42D0877810 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2005 and was last updated on 12/11/2007.


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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition0450NHSOUTH CAROLINANo
2332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility Supplies0450NHSOUTH CAROLINANo
3314000000XSkilled Nursing FacilityNCF-450SOUTH 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
10137280001MEDICARE NSCSOUTH CAROLINA
2425154MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
30450NHMEDICAIDSOUTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.