COUNTRYWOOD NURSING CENTER, LLC (NPI# 1467517649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467517649 |
| Entity Type | Organization |
| Organization Name | COUNTRYWOOD NURSING CENTER, LLC |
| Other Organization Name | COUNTRYWOOD NURSING CENTER |
| Practice Address |
1645 Ridge Rd Hopkins SC 29061-8432 |
| Mailing Address |
16 Norcross St Suite 100 Roswell GA 30075-3810 |
| Practice Telephone | 8037763873 |
| Practice Fax Number | 8032170365 |
| Mailing Telephone | 7709934000 |
| Mailing Fax Number | 7709939014 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-12-06 |
| Authorized Official Name | MS. MARY LU FLORY (SECRETARY/TREASURER) |
| Authorized Official Telephone | 7709934000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | CRC1180 | SC | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | NCF816 | SC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0787NF | 05 |
| Other Name | Type Code |
|---|---|
| Countrywood Nursing Center | Doing Business As Name - Organization |
| Street Address |
1645 RIDGE RD |
| City | HOPKINS |
| State | SC |
| Zip Code | 29061-8432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508250119 | Jumps | Community/Behavioral Health | 222 Jw Neal Circle, Hopkins, SC 29061 | 2015-03-20 |
| 1689972481 | Sonia Darley | Pharmacist | 636 New Stock Drive, Hopkins, SC 29061 | 2011-03-03 |
| 1871708792 | S. Askia Davis | Nurse Practitioner | 9019 Garners Ferry Rd St B, Hopkins, SC 29061 | 2007-05-14 |
| 1043303720 | Medfirst Diabetic Shoes & Supplies | Durable Medical Equipment & Medical Supplies | 112-k White Oak Lane, Lexington, SC 29061 | 2006-10-02 |
| 1851790216 | Alexandra Byers Weathersby | Nurse Practitioner | 9023 Garners Ferry Rd, Hopkins, SC 29061 | 2014-08-21 |
| 1063930360 | Happy Hands Transportation LLC | Private Vehicle | 2703 Trotter Rd, Hopkins, SC 29061-8211 | 2017-09-07 |
| 1295353472 | Kimeka L Peake | Counselor | 129 Bloxome Dr, Hopkins, SC 29061-8225 | 2020-07-14 |
| 1730540717 | Bonita Street | Day Training/Habilitation Specialist | 309 Keystone Dr, Hopkins, SC 29061-8378 | 2016-03-17 |
| 1922124635 | Felicia Latrice Mcghee | Counselor | 240 Rosebrook Dr, Hopkins, SC 29061-8388 | 2007-03-22 |
| 1760631360 | Andrea Joyce Richardson | Social Worker | 265 Rosebrooke Way, Hopkins, SC 29061-8389 | 2008-09-18 |
| Find all providers in zip 29061 | ||||
| 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 |
|---|---|---|---|---|
| 1164478483 | Beverly Enterprises - Minnesota LLC | Skilled Nursing Facility | 725 2nd Ave S, Hopkins, MN 55343-7782 | 2006-05-26 |
| 1437107216 | Augustana Chapel View Homes, Inc. | Skilled Nursing Facility | 615 Minnetonka Mills Rd, Hopkins, MN 55343 | 2006-05-04 |
| 1538600770 | Nsh Hopkins LLC | Skilled Nursing Facility | 725 2nd Ave S, Hopkins, MN 55343-7782 | 2017-03-20 |
| 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 | ||||
Please comment or provide details below to improve the information on COUNTRYWOOD NURSING CENTER, LLC.
| 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.