Maranatha Manor Of Spartanburg, Inc

LBN: Maranatha Manor Of Spartanburg, Inc
Maranatha Manor Of Spartanburg, Inc is an health care organization with primary practice located at 2902 E Main Street Ext , Spartanburg SC 29307-1252. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Maranatha Manor Of Spartanburg, Inc can be contacted via phone (864) 579-0086, or through West, Sandra M via phone (864) 579-0086.

Contact Information

Primary practice address
2902 E Main Street Ext Spartanburg SC 29307-1252
Fax: (864) 579-0466
Website:
Authorized official contact:
Name: West, Sandra M

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X CRC1235 South Carolina

Profile Details

NPI number 1962480186
LBN Legal business name Maranatha Manor Of Spartanburg, Inc
DBA Doing business as
Authorized official West, Sandra M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1962480186 NPPES
South Carolina MEDICAID RC1235

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