WOODRUFF MANOR (NPI# 1437668019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437668019 |
| Entity Type | Organization |
| Organization Name | WOODRUFF MANOR |
| Other Organization Name | WOODRUFF MANOR |
| Practice Address |
1114 E Georgia Rd Woodruff SC 29388 |
| Mailing Address |
1114 E Georgia Rd Woodruff SC 29388-9350 |
| Practice Telephone | 8644767092 |
| Practice Fax Number | 8644760753 |
| Mailing Telephone | 8644767092 |
| Mailing Fax Number | 8644760753 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | KENNETH MEIKE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8645606000 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | 42-5179 | 01 |
| SC | NF1085 | 05 | |
| SC | UPLN17 | 05 |
| Other Name | Type Code |
|---|---|
| Woodruff Manor | Doing Business As Name - Organization |
| Street Address |
1114 E GEORGIA RD |
| City | WOODRUFF |
| State | SC |
| Zip Code | 29388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134146210 | Woodruff Manor, LLC | Skilled Nursing Facility | 1114 E Georgia Rd, Woodruff, SC 29388-9350 | 2006-07-16 |
| 1093244824 | South Carolina Post Acute Medical Services 1 PC | Hospitalist | 1114 E Georgia Rd, Woodruff, SC 29388-9350 | 2017-06-06 |
| 1083043657 | Shawna Monee White | Physical Therapy Assistant | 1114 E Georgia Rd, Woodruff, SC 29388-9350 | 2013-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336370 | Lindsay Jeanne Small | Behavioral Analyst | 751 East Georgia St, Woodruff, SC 29388 | 2020-08-12 |
| 1467092916 | Jessica Florez | Assistant Behavior Analyst | 751 E. Georgia St, Woodruff, SC 29388 | 2020-01-13 |
| 1124548862 | Virginia Lanier | Behavioral Analyst | 751 E Georgia Street, Woodruff, SC 29388 | 2017-06-23 |
| 1811434681 | Anna M Stoudenmire | Behavioral Analyst | 751 E Gerogia Road, Woodruff, SC 29388 | 2017-01-31 |
| 1912365883 | Nicole Vanegas | Behavioral Analyst | 751 East Georgia Road, Ste 100, Woodruff, SC 29388 | 2016-02-05 |
| 1215393871 | Shannon Leigh Tyner Thompson | Behavioral Analyst | 751 E. Georgia Street, Woodruff, SC 29388 | 2016-01-12 |
| 1255775730 | Samantha Jenkins Amick | Speech-Language Pathologist | 915 Cross Anchor Road, Woodruff, SC 29388 | 2013-04-26 |
| 1366792889 | Kathleen Brown Harrington | Pharmacist | 654 Chickenfoot Creek Road, Woodruff, SC 29388 | 2012-09-12 |
| 1093018228 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 820 N. Main St., Woodruff, SC 29388 | 2010-12-09 |
| 1134448806 | Carolina Vision Associates, LLC | Optometrist | 363 E. Georgia St, Woodruff, SC 29388 | 2010-05-20 |
| Find all providers in zip 29388 | ||||
| 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 |
|---|---|---|---|---|
| 1134146210 | Woodruff Manor, LLC | Skilled Nursing Facility | 1114 E Georgia Rd, Woodruff, SC 29388-9350 | 2006-07-16 |
| 1134155567 | Dr Kate Newcomb Convalescent Center,inc | Skilled Nursing Facility | 301 Elm St, Woodruff, WI 54568-9149 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437616414 | South Bay At Mt. Pleasant, LLC | Skilled Nursing Facility | 1400 Liberty Midtown Dr, Mount Pleasant, SC 29464-3997 | 2019-02-26 |
| 1649764119 | Sprenger Healthcare of Bluffton, Inc | Skilled Nursing Facility | 60 Okatie Village Drive, Okatie, SC 29909 | 2018-06-19 |
| 1972018026 | Wellmore of Daniel Island LLC | Skilled Nursing Facility | 580 Robert Daniel Drive, Charleston, SC 29492 | 2017-12-12 |
| 1649782921 | Sprenger Healthcare of Port Royal, Inc | Skilled Nursing Facility | 1810 Richmond Ave, Port Royal, SC 29935-2015 | 2017-10-26 |
| 1639680572 | Senior Care of Marion LLC | Skilled Nursing Facility | 2770 S Highway 501, Marion, SC 29571-7854 | 2017-10-18 |
| 1780114249 | Wellmore of Lexington LLC | Skilled Nursing Facility | 200 Wellmore Drive, Lexington, SC 29072 | 2017-06-18 |
| 1467993030 | White Oak Manor, Inc | Skilled Nursing Facility | 290 North Grove Medical Park Drive, Spartanburg, SC 29303-4222 | 2017-03-16 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1487002721 | Richard Barratt | Skilled Nursing Facility | 1000 Cheraw Dr, Florence, SC 29501-5549 | 2016-05-26 |
| 1912352519 | Blue Ridge In The Fields LLC | Skilled Nursing Facility | 117 Bellfield Rd, Ridgeway, SC 29130-8261 | 2016-05-02 |
| 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.