SELF REGIONAL HEALTHCARE PARTNERS (NPI# 1790332468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790332468 |
| Entity Type | Organization |
| Organization Name | SELF REGIONAL HEALTHCARE PARTNERS |
| Practice Address |
300 Ridge Medical Plaza Rd Edgefield SC 29824-4525 |
| Mailing Address |
1325 Spring St Greenwood SC 29646-3860 |
| Practice Telephone | 8036373174 |
| Practice Fax Number | 8036370200 |
| Mailing Telephone | 8647254111 |
| Mailing Fax Number | 8647257424 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | JAMES A PFEIFFER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8647254253 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELF REGIONAL HEALTHCARE PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Other Name | Type Code |
|---|---|
| ECH Respite, An Affiliate of Self Regional Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168971 | Self Regional Healthcare Partners | Medicare Defined Swing Bed Unit | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| 1053929208 | Self Regional Healthcare Partners | Internal Medicine | 155 Ridge Medical Plaza Rd, Edgefield, SC 29824-4531 | 2020-07-14 |
| 1639653751 | Self Regional Healthcare Partners | General Acute Care Hospital | 155 Ridge Medical Plaza Rd, Edgefield, SC 29824-4531 | 2018-09-25 |
| 1922582105 | Self Regional Healthcare Partners | Emergency Medicine | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| 1508340795 | Self Regional Healthcare Partners | General Acute Care Hospital | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| Street Address |
300 RIDGE MEDICAL PLAZA RD |
| City | EDGEFIELD |
| State | SC |
| Zip Code | 29824-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168971 | Self Regional Healthcare Partners | Medicare Defined Swing Bed Unit | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| 1922582105 | Self Regional Healthcare Partners | Emergency Medicine | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| 1508340795 | Self Regional Healthcare Partners | General Acute Care Hospital | 300 Ridge Medical Plaza Rd, Edgefield, SC 29824-4525 | 2018-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386993483 | Kim Massey Holsomback | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-05 |
| 1093962359 | Edgefield County Senior Citizens Council | Voluntary or Charitable | 15 Center Spring Road, Edgefield, SC 29824 | 2008-08-19 |
| 1114108735 | Banks Pharmacy | Clinic/Center | 100 Ridge Medical Plaza, Suite 101, Edgefield, SC 29824 | 2007-11-26 |
| 1255525648 | Carolina Youth Combat Systems | Counselor | 722 Augusta Rd, Edgefield, SC 29824 | 2007-08-29 |
| 1972663763 | Tami Y Massey | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2006-12-11 |
| 1093166514 | Self Medical Group | Family Medicine | 155 Ridge Medical Plaza Rd, Suite A, Edgefield, SC 29824 | 2016-06-27 |
| 1376960955 | Carla Dorn | Licensed Practical Nurse | 21 Star Rd, Edgefield, SC 29824 | 2014-03-21 |
| 1487904819 | Julian Thomas Rushin | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-13 |
| 1134478225 | Marvin Gene Cason | Pharmacist | 230 Apple Square Plaza, Edgefield, SC 29824 | 2012-09-05 |
| 1205197019 | Robert Brightharp | Family Medicine | 155 Ridge Medical Plaza, Suite 102, Edgefield, SC 29824 | 2012-06-07 |
| Find all providers in zip 29824 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625579 | Visit By An Angel LLC | Respite Care | 64 Stratton Dr, North Charleston, SC 29420-8135 | 2019-08-23 |
| 1730731209 | Sc Homecare Solutions | Respite Care | 1214 N Main St Ste C, Anderson, SC 29621-4729 | 2019-07-15 |
| 1467925255 | Homewatch Caregivers of Rock Hill | Respite Care | 2342 Ebenezer Rd Ste A, Rock Hill, SC 29732-8256 | 2019-01-04 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1659734432 | Empowered Personal Care Home Health Alliance Inc | Respite Care | 1267 N Main St, Sumter, SC 29153-2138 | 2016-03-30 |
| 1053791574 | New Horizon Home Care LLC | Respite Care | 3683 Silver Bluff Rd, Aiken, SC 29803-6983 | 2015-06-01 |
| 1841533981 | Adult Day Care 41 | Respite Care | 1572 Highway 41, Mount Pleasant, SC 29466-8610 | 2013-03-27 |
| 1851639686 | Robinson's Healing-hearts Assisted Living LLC | Respite Care | 7340 Parklane Rd, Suite 204-f, Columbia, SC 29223-7644 | 2013-01-29 |
| 1730432113 | Senior Sitters of The Csra | Respite Care | 103 Cascade Dr, North Augusta, SC 29841-2164 | 2012-10-22 |
| 1134483696 | Assisting Angels Inc. | Respite Care | 113 East Butler Rd, Suite C, Mauldin, SC 29662 | 2012-06-29 |
| 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.