NL & JR INCORPORATED (NPI# 1881034247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881034247 |
| Entity Type | Organization |
| Organization Name | NL & JR INCORPORATED |
| Other Organization Name | GOOSE CREEK MANOR |
| Practice Address |
104 Marilyn St Goose Creek SC 29445-3104 |
| Practice Telephone | 8435727442 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |
| Authorized Official Name | LETICIA DEDIOS (ADMINISTRATOR) |
| Authorized Official Telephone | 8435727442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | CRC0639 | SC | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | CRC0762 | SC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Goose Creek Manor | Doing Business As Name - Organization |
| Street Address |
104 MARILYN ST |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679050868 | Star Capital Inc | Assisted Living Facility | 104 Marilyn St, Goose Creek, SC 29445-3104 | 2018-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679050868 | Star Capital Inc | Assisted Living Facility | 104 Marilyn St, Goose Creek, SC 29445-3104 | 2018-07-20 |
| 1003003393 | Assisted Living Concepts Inc | Assisted Living Facility | 101 Centennial Blvd, Goose Creek, SC 29445 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253993 | Aiken Memory Care | Assisted Living Facility | 2288 S Centennial Ave, Aiken, SC 29803-7684 | 2020-10-26 |
| 1114533981 | Jenni-lynn Assisted Living, LLC | Assisted Living Facility | 915 Hook Ave, West Columbia, SC 29169-5332 | 2020-09-17 |
| 1689280455 | Sandpiper Independent & Assisted Living, LLC | Assisted Living Facility | 1047 Anna Knapp Blvd, Mount Pleasant, SC 29464-3146 | 2020-09-17 |
| 1336755396 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1408 Parkway, Greenwood, SC 29646-4043 | 2020-09-16 |
| 1801402730 | Brookdale Senior Living Communities, Inc | Assisted Living Facility | 105 N Hills Dr, North Augusta, SC 29841-0112 | 2020-09-16 |
| 1508472424 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 131 Vickery Dr, Central, SC 29630-8330 | 2020-09-16 |
| 1114533049 | Ahc Sterling House of Harbison, LLC | Assisted Living Facility | 51 Woodcross Dr, Columbia, SC 29212-2350 | 2020-09-16 |
| 1922614866 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 251 Springtree Dr, Columbia, SC 29223-7989 | 2020-09-16 |
| 1033725973 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 | 2020-09-16 |
| 1750997771 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2010 Brushy Creek Rd, Greer, SC 29650-2614 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
Please comment or provide details below to improve the information on NL & JR INCORPORATED.
| 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.