FLEETWOOD REHABILITATION AND HEALTHCARE CENTER, LLC (NPI# 1598194789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598194789 |
| Entity Type | Organization |
| Organization Name | FLEETWOOD REHABILITATION AND HEALTHCARE CENTER, LLC |
| Practice Address |
200 Anne Dr Easley SC 29640-2061 |
| Practice Telephone | 8648599754 |
| Practice Fax Number | 8648590697 |
| Mailing Telephone | 8648599754 |
| Mailing Fax Number | 8648590697 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2017-12-29 |
| Authorized Official Name | MICHELLE D MEER (VICE PRESIDENT & SECRETARY) |
| Authorized Official Telephone | 6296260000 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW ARK 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 | NF1046 | 05 |
| Street Address |
200 ANNE DR |
| City | EASLEY |
| State | SC |
| Zip Code | 29640-2061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427074996 | Easley Living Center, LLC | Skilled Nursing Facility | 200 Anne Dr, Easley, SC 29640-2061 | 2006-07-15 |
| 1295205631 | Sc-ga2018 Fleetwood Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 200 Anne Dr, Easley, SC 29640-2061 | 2018-11-28 |
| 1710299888 | Majesty Health & Rehab of Easley, LLC | Skilled Nursing Facility | 200 Anne Dr, Easley, SC 29640-2061 | 2010-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1417309451 | Ashby Park Pediatric Dentistry Easley | Dentist | 708 North A Street, Easley, SC 29640 | 2016-07-01 |
| 1548696990 | Phuong T Tran | Pharmacist | 309 Rolling Hills Circle, Easley, SC 29640 | 2013-09-17 |
| 1538593017 | Baptist Easley Hospital | Clinic/Center | 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 | 2013-09-03 |
| 1942507173 | Joanne Mason Wilkinson | Occupational Therapist | 1807a East Main St, Easley, SC 29640 | 2011-02-24 |
| 1861793911 | Ark Pharmacy Services LLC | Pharmacy | 5119- A Calhoun Memorial Hwy, Easley, SC 29640 | 2010-11-05 |
| 1659507952 | Sarah Elizabeth Proulx | Dentist | 227 South Pendleton Street, Suita A, Easley, SC 29640 | 2009-06-02 |
| 1508030503 | Jean Claire Palmour | Massage Therapist | 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 | 2008-04-22 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1942419171 | William Kent Hammond | Dentist | 298 Enterprise Dr, Easley, SC 29640 | 2007-05-22 |
| Find all providers in zip 29640 | ||||
| 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 |
|---|---|---|---|---|
| 1770788002 | Presbyterian Communities of South Carolina | Skilled Nursing Facility | 205 Bud Nalley Dr, Easley, SC 29642-3570 | 2007-06-18 |
| 1427074996 | Easley Living Center, LLC | Skilled Nursing Facility | 200 Anne Dr, Easley, SC 29640-2061 | 2006-07-15 |
| 1306862875 | Blue Ridge Living Center, LLC | Skilled Nursing Facility | 1850 Crestview Rd, Easley, SC 29642-3528 | 2006-07-15 |
| 1033768536 | School Road Senior Living, LLC | Skilled Nursing Facility | 706 Pelzer Hwy, Easley, SC 29642-2941 | 2019-09-06 |
| 1295205631 | Sc-ga2018 Fleetwood Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 200 Anne Dr, Easley, SC 29640-2061 | 2018-11-28 |
| 1366910903 | Sc-ga2018 Capstone Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 1850 Crestview Rd, Easley, SC 29642-3528 | 2018-11-12 |
| 1588042188 | Emericare Countryside Village LLC | Skilled Nursing Facility | 706 Pelzer Hwy, Easley, SC 29642-2941 | 2015-05-14 |
| 1306274410 | Capstone Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 1850 Crestview Rd, Easley, SC 29642-3528 | 2013-10-29 |
| 1326313503 | Emericare Countryside Village LLC | Skilled Nursing Facility | 706 Pelzer Hwy, Easley, SC 29642-2941 | 2012-03-20 |
| 1629380787 | Capstone Health & Rehab of Easley, LLC | Skilled Nursing Facility | 1850 Crestview Rd, Easley, SC 29642-3528 | 2010-07-06 |
| Find all providers in EASLEY | ||||
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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.