WILLISTON HEALTHCARE AND REHAB, LLC (NPI# 1750379442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750379442 |
| Entity Type | Organization |
| Organization Name | WILLISTON HEALTHCARE AND REHAB, LLC |
| Practice Address |
5721 Springfield Rd Williston SC 29853-1917 |
| Practice Telephone | 8032663229 |
| Mailing Telephone | 8032663229 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | HAIM CY PIZAM (MANAGING MEMBER) |
| Authorized Official Telephone | 4074549096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH-754 | SC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0754NF | 05 | |
| SC | DHEC LIC # | NCF-1037 | 01 |
| Street Address |
5721 SPRINGFIELD RD |
| City | WILLISTON |
| State | SC |
| Zip Code | 29853-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497096259 | Alice Pyle Metts | Physical Therapist | 5721 Springfield Rd, Williston, SC 29853-1917 | 2013-03-04 |
| 1700120128 | Elise Faulkner | Physical Therapist | 5721 Springfield Rd, Williston, SC 29853-1917 | 2012-11-26 |
| 1215271812 | Cheryl Lee Gentry | Physical Therapy Assistant | 5721 Springfield Rd, Williston, SC 29853-1917 | 2012-11-20 |
| 1619211521 | Angela Nicole Marzolf | Occupational Therapy Assistant | 5721 Springfield Rd, Williston, SC 29853 | 2012-11-15 |
| 1598009409 | Janice Dukes Wright | Speech-Language Pathologist | 5721 Springfield Rd, Williston, SC 29853-1917 | 2012-11-15 |
| 1316281223 | Rosanne J Smith | Physical Therapy Assistant | 5721 Springfield Rd, Williston, SC 29853-1917 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669989349 | Brittany Wyndham | Pharmacist | 12935 Main Street, Williston, SC 29853 | 2018-01-04 |
| 1467837633 | Billie Williams | Licensed Practical Nurse | 415 Memorial Ave., Allendale, SC 29853 | 2015-07-29 |
| 1003273145 | Angela Sharpe | Pharmacist | 2 E Main St, Williston, SC 29853 | 2016-01-20 |
| 1134252588 | Carolina Rural Practice Management, Inc. | Clinic/Center | 2677 Main St, Williston, SC 29853-0177 | 2007-03-14 |
| 1669524260 | John Wade Riley | Dentist | 10 Roundtree St., Williston, SC 29853-0659 | 2007-01-17 |
| 1972868123 | Tasha Michelle Bowman | Specialist/Technologist | 82 Baxter St, Williston, SC 29853-2008 | 2012-07-12 |
| 1497985162 | Barnwell County Hospital | Clinic/Center | 45 Roundtree St, Williston, SC 29853-2303 | 2009-07-16 |
| 1720487200 | Sc Healthcare Investments LLC | Clinic/Center | 45 Roundtree St, Williston, SC 29853-2303 | 2014-08-20 |
| 1730588211 | Sc Healthcare Investments Ll | Clinic/Center | 45 Roundtree St, Williston, SC 29853-2303 | 2014-08-20 |
| 1245594571 | Sc Regional Health System LLC | Family Medicine | 45 Roundtree St, Williston, SC 29853-2303 | 2012-07-02 |
| Find all providers in zip 29853 | ||||
| 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 |
|---|---|---|---|---|
| 1811932015 | Williston Health Care Center, LLC | Skilled Nursing Facility | 300 Nw 1st Ave, Williston, FL 32696-2006 | 2006-06-19 |
| 1306830427 | Bethel Lutheran Nursing & Rehabilitation Center | Skilled Nursing Facility | 1515 2nd Ave W, Williston, ND 58801-4108 | 2005-09-02 |
| 1346627031 | Williston Facility Inc | Skilled Nursing Facility | 300 Nw 1st Ave, Williston, FL 32696-2006 | 2015-05-01 |
| 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.