Healthcare Provider Details

I. General information

NPI: 1376580936
Provider Name (Legal Business Name): NHC HEALTHCARE-PARKLANE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 10/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 PARKLANE RD
COLUMBIA SC
29223-6122
US

IV. Provider business mailing address

7601 PARKLANE RD
COLUMBIA SC
29223-6122
US

V. Phone/Fax

Practice location:
  • Phone: 803-741-9090
  • Fax:
Mailing address:
  • Phone: 803-741-9090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNCF-797
License Number StateSC

VIII. Authorized Official

Name: J B KINNEY JR.
Title or Position: MANAGER OF LLC
Credential:
Phone: 864-662-1452