PALMETTO PRINCE GEORGE OPERATING LLC (NPI# 1548344906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548344906 |
| Entity Type | Organization |
| Organization Name | PALMETTO PRINCE GEORGE OPERATING LLC |
| Other Organization Name | PRINCE GEORGE HEALTHCARE CENTER |
| Practice Address |
901 Maple St Georgetown SC 29440-4377 |
| Practice Telephone | 8435466101 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-07-23 |
| Authorized Official Name | MR. MOHAMED OTHMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 8435466101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NCF-850 | SC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0930NF | 05 |
| Other Name | Type Code |
|---|---|
| Prince George Healthcare Center | Doing Business As Name - Organization |
| Street Address |
901 MAPLE ST |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-4377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| 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 |
|---|---|---|---|---|
| 1285934232 | Mason Georgetown Op LLC | Skilled Nursing Facility | 4011 Williams Dr, Georgetown, TX 78628-2491 | 2010-10-25 |
| 1609054097 | Rush Memorial Hospital | Skilled Nursing Facility | 1002 Sister Barbara Way, Georgetown, IN 47122 | 2008-02-07 |
| 1952461493 | Pm Management-georgetown Al LLC | Skilled Nursing Facility | 101 Fm 971, Georgetown, TX 78626-4546 | 2006-12-12 |
| 1104986645 | Pm Management-georgetown Nc LLC | Skilled Nursing Facility | 121 Fm 971, Georgetown, TX 78626-4546 | 2006-12-12 |
| 1780770867 | Heath Carotex LLC | Skilled Nursing Facility | 903 Riverhaven Dr, Georgetown, TX 78626-4347 | 2006-10-05 |
| 1740373422 | State of Ohio Office of Budget and Management State Accounting | Skilled Nursing Facility | 2003 Veterans Blvd, Georgetown, OH 45121-7408 | 2006-10-02 |
| 1841258803 | Georgetown Healthcare & Rehab. | Skilled Nursing Facility | 2715 S Island Rd, Georgetown, SC 29440-4415 | 2006-05-01 |
| 1669444808 | Meadowwood Care Center Inc. | Skilled Nursing Facility | 61 Stephens Ave, Georgetown, OH 45121-9509 | 2006-02-02 |
| 1568441079 | Hqm of Scott County, Inc | Skilled Nursing Facility | 102 Pocahontas Trl, Georgetown, KY 40324-1123 | 2006-01-12 |
| 1184612707 | Covenant Care Ohio, Inc | Skilled Nursing Facility | 8065 Dr Faul Rd, Georgetown, OH 45121-8811 | 2005-10-07 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
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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.