IVA REHABILITATION AND HEALTHCARE CENTER, LLC (NPI# 1528496668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528496668 |
| Entity Type | Organization |
| Organization Name | IVA REHABILITATION AND HEALTHCARE CENTER, LLC |
| Practice Address |
406 W Broad St Iva SC 29655-9765 |
| Practice Telephone | 8643487433 |
| Practice Fax Number | 8643483888 |
| Mailing Telephone | 8643487433 |
| Mailing Fax Number | 8643483888 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2017-11-08 |
| Authorized Official Name | MICHELLE D MEER (VICE PRESIDENT & SECRETARY) |
| Authorized Official Telephone | 6296260000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORIANNA SC OPERATOR HOLDINGS, 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 | NF1049 | 05 |
| Street Address |
406 W BROAD ST |
| City | IVA |
| State | SC |
| Zip Code | 29655-9765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457791 | Akilah Fetherson | Speech-Language Pathologist | 406 W Broad St, Iva, SC 29655-9765 | 2018-12-03 |
| 1427526060 | Sc-ga2018 Iva Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 406 W Broad St, Iva, SC 29655-9765 | 2018-11-12 |
| 1811465685 | Andrea Hays | Physical Therapist | 406 W Broad St, Iva, SC 29655-9765 | 2018-11-09 |
| 1326516667 | Mary Pendergrass | Occupational Therapist | 406 W Broad St, Iva, SC 29655-9765 | 2018-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487091724 | Tanya Danette Dickerson | Registered Nurse | 9104 Hwy 81 South, Iva, SC 29655 | 2013-05-28 |
| 1750693776 | Exalted Health & Rehab of Iva, LLC | Skilled Nursing Facility | 406 West Broad St, Iva, SC 29655 | 2010-07-07 |
| 1699979310 | Robert Marcelino Rivera Alburo | Family Medicine | 331 Antreville Highway, Iva, SC 29655 | 2007-06-14 |
| 1740208776 | Willow Creek Living Center, LLC | Skilled Nursing Facility | 406 West Broad Street, Iva, SC 29655 | 2006-07-17 |
| 1427025238 | Iva Rescue Squad | Ambulance | 9715 Highway 81 S, Iva, SC 29655 | 2006-03-01 |
| 1437793684 | Collyn Bowman Smith | Student in an Organized Health Care Education/Training Program | 722 Bowman Rd, Iva, SC 29655-8007 | 2019-10-31 |
| 1467406462 | Anderson County School District Three | Local Education Agency (LEA) | 335 W Front St, Iva, SC 29655-8702 | 2006-05-22 |
| 1942649660 | Beth Lynn Hughes | Registered Nurse | 335 W Front St, Iva, SC 29655-8702 | 2013-06-15 |
| 1992306963 | Kristen Brown Purdy | Registered Nurse | 121b Mullberry Ln, Iva, SC 29655-8783 | 2020-11-05 |
| 1770588097 | Iva Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 720 E Front St, Iva, SC 29655-9089 | 2005-06-14 |
| Find all providers in zip 29655 | ||||
| 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 |
|---|---|---|---|---|
| 1750693776 | Exalted Health & Rehab of Iva, LLC | Skilled Nursing Facility | 406 West Broad St, Iva, SC 29655 | 2010-07-07 |
| 1740208776 | Willow Creek Living Center, LLC | Skilled Nursing Facility | 406 West Broad Street, Iva, SC 29655 | 2006-07-17 |
| 1427526060 | Sc-ga2018 Iva Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 406 W Broad St, Iva, SC 29655-9765 | 2018-11-12 |
| 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.