DUNDEE MANOR LLC NPI 1962401604

NPI Information

  • NPI: 1962401604
  • Provider Name: DUNDEE MANOR, LLC
  • Classification: Skilled Nursing Facility - 314000000X
  • Entity Type: Organization
  • CLIA Number: 42D0251642
  • Address: 710 HWY 15-401 BY-PASS WEST
    BENNETTSVILLE, SC
    ZIP 29512
  • Phone: (843) 479-6851

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NPI Details

DUNDEE MANOR, LLC is a skilled nursing facility in Bennettsville, 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. DUNDEE MANOR, LLC NPI is 1962401604. The provider is registered as an organization entity type.

The provider's business location address is:

710 HWY 15-401 BY-PASS WEST
BENNETTSVILLE, SC
ZIP 29512-858
Phone: (843) 479-6851
Fax: (843) 479-8101

The provider's authorized official is Hany Joseph Hanna .
The authorized official title is Administrator and has the following contact phone number (843) 479-6251.

The CLIA number assigned to this NPI record is 42D0251642 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 10/19/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing Facility0521NHSOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NCF-897OTHERSOUTH CAROLINASTATE LICENSE
25582820001MEDICARE NSC
342-5118MEDICARE ID-TYPE UNSPECIFIEDSOUTH 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: 11/21/2025

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