Fountain Inn Nursing Home

LBN: Carlyle Senior Care Of Fountain Inn,Llc
Fountain Inn Nursing Home is an health care organization with primary practice located at 501 Gulliver St , Fountain Inn SC 29644-2105. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Carlyle Senior Care Of Fountain Inn,Llc can be contacted via phone (864) 862-2554, or through Cranford, Richard S via phone (864) 862-2554.

Contact Information

Primary practice address
501 Gulliver St Fountain Inn SC 29644-2105
Phone: (864) 862-2554
Fax: (864) 862-9702
Website:
Map and Directions
Authorized official contact:
Name: Cranford, Richard S
Phone: (864) 862-2554

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X South Carolina

Profile Details

NPI number 1417961715
LBN Legal business name Carlyle Senior Care Of Fountain Inn,Llc
DBA Doing business as Fountain Inn Nursing Home
Authorized official Cranford, Richard S
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Oct 20th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417961715 NPPES
South Carolina MEDICAID 0626NH

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