UPSTATE AFFILIATE ORGANIZATION (NPI# 1407301302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407301302 |
| Entity Type | Organization |
| Organization Name | UPSTATE AFFILIATE ORGANIZATION |
| Other Organization Name | GHS SENIOR CARE |
| Practice Address |
32 Stoney Point Dr Greenville SC 29605-4628 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8645221950 |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |
| Authorized Official Name | DR. SPENCE M TAYLOR (PRESIDENT) |
| Authorized Official Telephone | 8647976118 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CMS PACE PROGRAM | H4053 | 01 |
| Other Name | Type Code |
|---|---|
| GHS Senior Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548716665 | Upstate Affiliate Organization | General Acute Care Hospital | 200 Andrews St, Suite 100, Greenville, SC 29601-3969 | 2016-08-29 |
| 1811486764 | Upstate Affiliate Organization | General Acute Care Hospital | 109 Physicians Drive, Suite B, Greer, SC 29650 | 2018-05-07 |
| 1831639459 | Upstate Affiliate Organization | Clinic/Center | 249 N Grove Medical Park Dr, #300, Spartanburg, SC 29303-4227 | 2017-03-01 |
| 1205382314 | Upstate Affiliate Organization | Skilled Nursing Facility | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-08-29 |
| 1689120784 | Upstate Affiliate Organization | Home Health | 298 Memorial Dr, Seneca, SC 29672-9443 | 2016-08-29 |
| Street Address |
32 STONEY POINT DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972952588 | Greenville Health System | PACE Provider Organization | 32 Stoney Point Dr, Greenville, SC 29605-4628 | 2016-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972952588 | Greenville Health System | PACE Provider Organization | 32 Stoney Point Dr, Greenville, SC 29605-4628 | 2016-06-06 |
| 1851834352 | New Life Adult Care Inc | PACE Provider Organization | 700 Airport Rd, Suite B, Greenville, SC 29607-2619 | 2016-12-01 |
| 1861836132 | Restorations Adult Daycare | PACE Provider Organization | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710541867 | Administer In Home Health Care, LLC | PACE Provider Organization | 477 E Blackstock Rd Ste 5, Spartanburg, SC 29301-3712 | 2019-04-24 |
| 1215342555 | C.h.a.t. Counseling | PACE Provider Organization | 160 Langford Rd, Blythewood, SC 29016-8746 | 2014-06-25 |
| 1679829949 | The Methodist Oaks | PACE Provider Organization | 153 Founders Ct, Orangeburg, SC 29118-2087 | 2012-07-24 |
| 1407998123 | Senior Options, Inc. | PACE Provider Organization | 512 Professional Park Rd, Clinton, SC 29325-7627 | 2007-02-12 |
| 1467600296 | Department of Vetrans Affairs | PACE Provider Organization | 109 Bee St, 3625 Rivers Ave Suite2, Charleston, SC 29401-5703 | 2008-09-04 |
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on UPSTATE AFFILIATE ORGANIZATION.
| 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.