COMMUNITY SERVICES FOR THE AGING, INC. (NPI# 1063409811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063409811 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SERVICES FOR THE AGING, INC. |
| Other Organization Name | MOUNTAINVIEW NURSING HOME |
| Practice Address |
340 Cedar Springs Road Spartanburg SC 29302 |
| Practice Telephone | 8645824175 |
| Practice Fax Number | 8645832310 |
| Mailing Telephone | 8645824175 |
| Mailing Fax Number | 8645832310 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2010-12-20 |
| Authorized Official Name | MR. WILSON K. DILLARD (ADMINISTRATOR) |
| Authorized Official Telephone | 8645824175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NCF149 | SC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 291168 | 05 |
| Other Name | Type Code |
|---|---|
| Mountainview Nursing Home | Doing Business As Name - Organization |
| Street Address |
340 CEDAR SPRINGS ROAD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467993030 | White Oak Manor, Inc | Skilled Nursing Facility | 290 North Grove Medical Park Drive, Spartanburg, SC 29303-4222 | 2017-03-16 |
| 1730214768 | White Oak Manor Inc | Skilled Nursing Facility | 400 Webber Rd, Spartanburg, SC 29307-2400 | 2007-02-22 |
| 1245375419 | White Oak Manor Inc | Skilled Nursing Facility | 295 E Pearl St, Spartanburg, SC 29303-3606 | 2007-02-21 |
| 1386731313 | Valley Falls Terrace Inc | Skilled Nursing Facility | 400 Locust Grv, Spartanburg, SC 29303-4831 | 2006-10-10 |
| 1033206222 | Thi of South Carolina At Magnolia Place At Spartanburg, LLC | Skilled Nursing Facility | 8020 White Ave, Spartanburg, SC 29303-2043 | 2006-10-07 |
| 1215024401 | Thi of South Carolina At Spartanburg, LLC | Skilled Nursing Facility | 375 Serpentine Dr, Spartanburg, SC 29303-3026 | 2006-10-07 |
| 1619453198 | Pacifica Skylyn LLC | Skilled Nursing Facility | 1705 Skylyn Drive, Spartanburg, SC 29307 | 2018-07-17 |
| 1902346273 | Maximus Spartanburg, LLC | Skilled Nursing Facility | 1705 Skylyn Dr, Spartanburg, SC 29307-1077 | 2017-03-06 |
| 1497148712 | Spartanburg Health Care LLC | Skilled Nursing Facility | 400 Locust Grv, Spartanburg, SC 29303-4831 | 2015-03-11 |
| 1790129922 | Spartanburg Rehabilitation Institute Inc | Skilled Nursing Facility | 160 Harold Fleming Ct, Spartanburg, SC 29303-4226 | 2013-04-18 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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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.