EBENEZER SENIOR SERVICES, LLC (NPI# 1760423495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760423495 |
| Entity Type | Organization |
| Organization Name | EBENEZER SENIOR SERVICES, LLC |
| Other Organization Name | AGAPE REHABILITATION OF ROCK HILL |
| Practice Address |
159 Sedgewood Dr Rock Hill SC 29732-2315 |
| Practice Telephone | 8033296565 |
| Practice Fax Number | 8033296624 |
| Mailing Telephone | 8033296565 |
| Mailing Fax Number | 8033296624 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | MR. G. SCOTT MIDDLETON (CEO, AGAPE SENIOR) |
| Authorized Official Telephone | 8034540365 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NCF814 | SC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0464NF | 05 |
| Other Name | Type Code |
|---|---|
| Agape Rehabilitation of Rock Hill | Doing Business As Name - Organization |
| Street Address |
159 SEDGEWOOD DR |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265807242 | Rock Hill Healthcare, Inc. | Skilled Nursing Facility | 159 Sedgewood Dr, Rock Hill, SC 29732-2315 | 2015-12-02 |
| 1396069167 | Quinndolyn Mcinnis | Physical Therapist | 159 Sedgewood Dr, Rock Hill, SC 29732-2315 | 2010-03-22 |
| 1205073947 | Bridgette Nicole Brown | Physical Therapist | 159 Sedgewood Dr, Rock Hill, SC 29732-2315 | 2009-01-16 |
| 1679710313 | Jamie Messemer Kruger | Physical Therapist | 159 Sedgewood Dr, Rock Hill, SC 29732-2315 | 2009-01-16 |
| 1114164852 | Isabel Laureano | Occupational Therapy Assistant | 159 Sedgewood Dr, Rock Hill, SC 29732-2315 | 2009-01-16 |
| 1013154756 | Dinah Durand Murdaugh | Physical Therapy Assistant | 159 Sedgewood Dr, Rock Hill, SC 29732-2315 | 2009-01-16 |
| 1740427483 | Amitria Necole Logan | Occupational Therapist | 159 Sedgewood Dr, Rock Hill, SC 29732-2315 | 2009-01-16 |
| 1417162777 | Courtney Joanne Pavlovich | Physical Therapy Assistant | 159 Sedgewood Dr, Rock Hill, SC 29732-2315 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| 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 |
|---|---|---|---|---|
| 1457486474 | White Oak Manor Inc | Skilled Nursing Facility | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 | 2007-02-22 |
| 1306933593 | Thi of South Carolina At Rock Hill, LLC | Skilled Nursing Facility | 127 Murrah Dr, Rock Hill, SC 29732-2342 | 2006-10-07 |
| 1992752414 | Pruitthealth - Rock Hill, LLC | Skilled Nursing Facility | 261 S Herlong Ave, Rock Hill, SC 29732-1159 | 2006-05-29 |
| 1568416915 | Westminster Presbyterian Center, Inc. | Skilled Nursing Facility | 831 Mcdow Dr, Rock Hill, SC 29732-2415 | 2006-05-20 |
| 1265807242 | Rock Hill Healthcare, Inc. | Skilled Nursing Facility | 159 Sedgewood Dr, Rock Hill, SC 29732-2315 | 2015-12-02 |
| 1629247952 | Genesis Rehabilitation Services | Skilled Nursing Facility | 3025 Chesbrough Blvd, Rock Hill, SC 29732-8078 | 2008-02-20 |
| 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.