MCLEOD LORIS SEACOAST HOSPITAL (NPI# 1588941520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588941520 |
| Entity Type | Organization |
| Organization Name | MCLEOD LORIS SEACOAST HOSPITAL |
| Other Organization Name | LORIS EXTENDED CARE CENTER |
| Practice Address |
3620 Stevens St Loris SC 29569-2953 |
| Mailing Address |
Po Box 100567 Florence SC 29502-0567 |
| Practice Telephone | 8437167106 |
| Practice Fax Number | 8437167026 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | SAMUEL FULTON ERVIN III (SR VP AND CFO) |
| Authorized Official Telephone | 8437772910 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCLEOD HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NCF207 | SC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Loris Extended Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1265708119 | Mcleod Loris Seacoast Hospital | Emergency Medicine | 3655 Mitchell St, Loris, SC 29569-2827 | 2012-03-26 |
| 1306123344 | Mcleod Loris Seacoast Hospital | General Acute Care Hospital | 3655 Mitchell St, Loris, SC 29569-2827 | 2011-11-04 |
| 1629387352 | Mcleod Loris Seacoast Hospital | Pharmacy | 3655 Mitchell St, Loris, SC 29569-2827 | 2010-09-29 |
| Street Address |
3620 STEVENS ST |
| City | LORIS |
| State | SC |
| Zip Code | 29569-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779547 | Sarah E Vanderbosch Small | Occupational Therapist | 3620 Stevens St, Loris, SC 29569-2953 | 2020-01-14 |
| 1285112466 | Sarah Josephine Kalish | Occupational Therapist | 3620 Stevens St, Loris, SC 29569-2953 | 2018-07-31 |
| 1265888572 | Ashley Moore | Occupational Therapist | 3620 Stevens St, Loris, SC 29569-2953 | 2016-05-05 |
| 1003281254 | Catherine Hunter Earnhardt | Speech-Language Pathologist | 3620 Stevens St, Loris, SC 29569-2953 | 2015-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427464247 | Denise Logan | Dietitian, Registered | 3811 Walnut St, Loris, SC 29569 | 2014-07-02 |
| 1801231634 | Melissa Ann Miara | Internal Medicine | 3617 Casey St Ste C, Loris, SC 29569 | 2013-05-07 |
| 1356684161 | Gwyn Gordon Mcgutchen | Dentist | 3681 Spivey St., Loris, SC 29569 | 2013-03-29 |
| 1336486174 | Winferd Dale Holt | Dentist | 3980 Main Street, Loris, SC 29569 | 2013-01-14 |
| 1528314325 | Southern Living Emergency Physicians LLC | Physician Assistant | 6988 Mitchell Street, Loris, SC 29569 | 2012-07-30 |
| 1124347604 | Regina F. Holmes | Nurse Practitioner | Agape Senior Primary Care Inc Dba Main Street Physician, 3612 Mitchell Street, Loris, SC 29569 | 2010-05-24 |
| 1801914122 | Dr Gwyn Gordon Mccutchen Inc | Dentist | 3681 Spivey Street, Loris, SC 29569 | 2007-03-26 |
| 1700911203 | Twin States Helping Hands | Home Health | 1620 Hwy 701 N, Loris, SC 29569 | 2007-02-23 |
| 1306922646 | Loris Community Hospital District | Clinic/Center | 3204 Casey St, Loris, SC 29569 | 2006-10-30 |
| 1619074119 | South Carolina Cvs Pharmacy LLC | Pharmacy | 4767 Broad St, Loris, SC 29569 | 2006-09-20 |
| Find all providers in zip 29569 | ||||
| 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 |
|---|---|---|---|---|
| 1023181617 | Loris Community Hospital District | Skilled Nursing Facility | 3620 Stevens Street, Loris, SC 29569-2953 | 2006-11-15 |
| 1194128520 | Loris Rehab and Nursing Center, LLC | Skilled Nursing Facility | 3620 Stevens Street, Loris, SC 29569 | 2014-09-30 |
| 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 MCLEOD LORIS SEACOAST HOSPITAL.
| 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.