HANNAH RESIDENTIAL MANOR, INC. (NPI# 1013263433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013263433 |
| Entity Type | Organization |
| Organization Name | HANNAH RESIDENTIAL MANOR, INC. |
| Practice Address |
3750 Sheminally Rd Pamplico SC 29583-5700 |
| Practice Telephone | 8434930001 |
| Practice Fax Number | 8434932840 |
| Mailing Telephone | 8434930001 |
| Mailing Fax Number | 8434932840 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |
| Authorized Official Name | MR. RONALD E. HART SR. (OWNER) |
| Authorized Official Telephone | 8434930001 |
| Authorized Official Credential | COB |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
RCF 0712 | SC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RCF 0712 | 05 |
| Street Address |
3750 SHEMINALLY RD |
| City | PAMPLICO |
| State | SC |
| Zip Code | 29583-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
| 1295381564 | Lane Madison Hodges | Pharmacist | 616 S Walnut St., Pamplico, SC 29583 | 2019-08-13 |
| 1386109643 | Lorraine Sullivan Bennett | Occupational Therapy Assistant | Hanna Pamplico Elementary School, 2131 South Pamplico Highway, Pamplico, SC 29583 | 2019-01-31 |
| 1215141080 | Joseph Leonard Brown | Dentist | 905 S Pamplico Hwy, Pamplico, SC 29583 | 2007-05-10 |
| 1770670143 | Sandra Weatherford | Nurse Practitioner | 953 South Pamplico Hwy, Pamplico, SC 29583 | 2006-10-06 |
| 1700432606 | Life Links Behavioral and Medical Group | Counselor | 503 E Main Street, Pamplico, SC 29583 | 2019-08-15 |
| 1659820587 | Life Links, LLC | Home Health | 503 E Main Street, Pamplico, SC 29583 | 2016-10-04 |
| 1811191877 | Brandie Andrews Reynolds | Family Medicine | 953 South Pamplico Hwy, Pamplico, SC 29583 | 2007-06-13 |
| 1649512492 | Pamplico Rescue and Ambulance Service | Ambulance | 217 E. Third Ave, Pamplico, SC 29583-0532 | 2013-03-20 |
| 1235270109 | Tina Stone Chastain | Pharmacist | 616 South Walnut Street, Pamplico, SC 29583-0637 | 2007-02-12 |
| Find all providers in zip 29583 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868417 | Williams Community Care Home | Custodial Care Facility | 7705 Richard St, Columbia, SC 29209-3733 | 2020-10-13 |
| 1497314256 | The Barr Transition Place, LLC | Custodial Care Facility | 2422 Martin Luther King Jr Hwy, Kingstree, SC 29556-6945 | 2019-06-06 |
| 1265953590 | Club Horizons of Charleston, LLC | Custodial Care Facility | 8088 Rivers Ave, North Charleston, SC 29406-9235 | 2017-06-27 |
| 1720534985 | Caring Hearts Companions, LLC | Custodial Care Facility | 1185 Blanton Rd, Sharon, SC 29742-8752 | 2016-08-28 |
| 1295188001 | Professional Cleaning & Care Services LLC | Custodial Care Facility | 620 16th Ave S, Unit 89, Surfside Beach, SC 29575-3069 | 2016-07-16 |
| 1801241971 | Palmetto Senior Care Shandon | Custodial Care Facility | 1100 Shirley St Ste 1, Columbia, SC 29205-1370 | 2016-04-26 |
| 1346634904 | Cheryl Renee Gibson-dalton | Custodial Care Facility | 1231 Eutaw St, Orangeburg, SC 29115-3529 | 2015-03-22 |
| 1447648001 | Carriage House Senior Living of Hartsville | Custodial Care Facility | 1131 E Home Ave, Hartsville, SC 29550-3411 | 2015-01-06 |
| 1881012177 | Joshua's Foundation Inc. | Custodial Care Facility | 388 Elbow Circle, Ridgeway, SC 29130-0035 | 2014-04-03 |
| 1427480193 | Step By Step To Nursing | Custodial Care Facility | 237 Chartwell Rd, Columbia, SC 29210-5834 | 2013-08-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.