CONWAY HOSPITAL LONG TERM CARE SERVICES, INC (NPI# 1528062544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528062544 |
| Entity Type | Organization |
| Organization Name | CONWAY HOSPITAL LONG TERM CARE SERVICES, INC |
| Other Organization Name | KINGSTON NURSING CENTER |
| Practice Address |
2379 Cypress Cir Conway SC 29526-8921 |
| Mailing Address |
Po Box 1496 Conway SC 29528-1496 |
| Practice Telephone | 8433478179 |
| Practice Fax Number | 8432345147 |
| Mailing Telephone | 8433478179 |
| Mailing Fax Number | 8432345147 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2011-12-30 |
| Authorized Official Name | MRS. LAURA L. FOWLER (ADMINISTRATOR) |
| Authorized Official Telephone | 8433478179 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONWAY HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NCF-518 | SC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0518NH | 05 |
| Other Name | Type Code |
|---|---|
| Kingston Nursing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750466223 | Conway Hospital Long Term Care Services, Inc | Nursing Facility/Intermediate Care Facility | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2006-10-25 |
| Street Address |
2379 CYPRESS CIR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-8921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124595863 | Pruitthealth - Conway, LLC | Skilled Nursing Facility | 2379 Cypress Cir, Conway, SC 29526-8921 | 2018-10-31 |
| 1679769228 | Sherry L Hoagland | Physician Assistant | 2379 Cypress Cir, Conway, SC 29526-8921 | 2007-09-18 |
| 1508986654 | Suzy Pennington | Physical Therapist | 2379 Cypress Cir, Kingston Rehab Center-cmc, Conway, SC 29526-8921 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| 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 |
|---|---|---|---|---|
| 1508322249 | Superior Health & Rehab LLC | Skilled Nursing Facility | 625 Tommy Lewis Dr, Conway, AR 72032-7006 | 2019-02-19 |
| 1023431905 | Lexington Place Healthcare and Rehabilitation,llc | Skilled Nursing Facility | 1052 Harrison St Ste 6, Conway, AR 72032-4277 | 2014-01-28 |
| 1982819298 | Agape Rehabilitation of Conway, Inc. | Skilled Nursing Facility | 2320 Highway 378, Conway, SC 29527-4911 | 2007-05-11 |
| 1821028556 | St. Andrews Place, Inc. | Skilled Nursing Facility | 3501 College Ave, Conway, AR 72034-7281 | 2006-07-05 |
| 1639123748 | Conway Manor, LLC | Skilled Nursing Facility | 3300 4th Ave, Conway, SC 29527-6002 | 2006-05-22 |
| 1053385377 | Salem Place Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 2401 Christina Ln, Conway, AR 72034-6798 | 2006-02-14 |
| 1104814771 | Diversicare Leasing Corp. | Skilled Nursing Facility | 2603 Dave Ward Dr, Conway, AR 72034-6771 | 2005-10-07 |
| 1053307363 | Heritage Living Center, Inc. | Skilled Nursing Facility | 1175 Morningside Dr, Conway, AR 72034-3647 | 2005-09-22 |
| 1124595863 | Pruitthealth - Conway, LLC | Skilled Nursing Facility | 2379 Cypress Cir, Conway, SC 29526-8921 | 2018-10-31 |
| 1639652506 | Ltc of Conway, LLC | Skilled Nursing Facility | 3501 College Ave, Conway, AR 72034-7281 | 2018-09-07 |
| Find all providers in CONWAY | ||||
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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.