WELLMORE OF TEGA CAY, LLC (NPI# 1619427697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619427697 |
| Entity Type | Organization |
| Organization Name | WELLMORE OF TEGA CAY, LLC |
| Practice Address |
111 Wellmore Dr Tega Cay SC 29708-0124 |
| Mailing Address |
3530 Toringdon Way Suite 204 Charlotte NC 28277-3431 |
| Practice Telephone | 7046120363 |
| Mailing Telephone | 7042461620 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | MR. DONALD O THOMPSON JR. (CEO) |
| Authorized Official Telephone | 7042461620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | NCF-0988 | SC | Nursing & Custodial Care Facilities |
| Street Address |
111 WELLMORE DR |
| City | TEGA CAY |
| State | SC |
| Zip Code | 29708-0124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932385143 | Amy L Stafani | Physical Therapist | 111 Wellmore Dr, Tega Cay, SC 29708-0124 | 2008-01-17 |
| 1275009474 | Julius Davis | Occupational Therapy Assistant | 111 Wellmore Dr, Tega Cay, SC 29708-0124 | 2018-10-16 |
| 1235643669 | Hannah Mclaurin Melton | Occupational Therapy Assistant | 111 Wellmore Dr, Tega Cay, SC 29708-0124 | 2017-11-21 |
| 1679083976 | Cynthia Leone | Physical Therapist | 111 Wellmore Dr, Tega Cay, SC 29708-0124 | 2017-10-02 |
| 1104367291 | Paulina Graham | Occupational Therapist | 111 Wellmore Dr, Tega Cay, SC 29708-0124 | 2017-03-09 |
| 1356881478 | Richelle Muhlenkamp | Speech-Language Pathologist | 111 Wellmore Dr, Tega Cay, SC 29708-0124 | 2017-03-08 |
| 1912361650 | Jodie Roberta Lowry | Physical Therapy Assistant | 111 Wellmore Dr, Tega Cay, SC 29708-0124 | 2016-04-08 |
| 1588028682 | Jenny Petrenko | Physical Therapy Assistant | 111 Wellmore Dr, Tega Cay, SC 29708-0124 | 2016-04-05 |
| 1740643667 | Faith Plemmons | Occupational Therapy Assistant | 111 Wellmore Dr, Tega Cay, SC 29708-0124 | 2016-03-29 |
| 1194186692 | Yolanda Mccloud Gordon | Occupational Therapy Assistant | 111 Wellmore Dr, Tega Cay, SC 29708-0124 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
| 1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
| Find all providers in zip 29708 | ||||
| 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 |
|---|---|---|---|---|
| 1962892893 | We | Skilled Nursing Facility | 111 Wellmore Drive, Tega Cay, SC 29708 | 2015-01-30 |
| 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 | ||||
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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.