Healthcare Provider Details

I. General information

NPI: 1811045677
Provider Name (Legal Business Name): GENESIS HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CASHUA ST STE 2
DARLINGTON SC
29532-3301
US

IV. Provider business mailing address

8906 TWO NOTCH RD
COLUMBIA SC
29223-6366
US

V. Phone/Fax

Practice location:
  • Phone: 843-393-6591
  • Fax: 843-395-8449
Mailing address:
  • Phone: 803-254-3676
  • Fax: 843-968-3465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TONY MEGNA
Title or Position: CEO
Credential:
Phone: 803-254-3676