Healthcare Provider Details

I. General information

NPI: 1619902277
Provider Name (Legal Business Name): NHC HEALTHCARE-GREENWOOD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 E CAMBRIDGE AVE
GREENWOOD SC
29646-2244
US

IV. Provider business mailing address

437 E CAMBRIDGE AVE
GREENWOOD SC
29646-2244
US

V. Phone/Fax

Practice location:
  • Phone: 864-223-1950
  • Fax:
Mailing address:
  • Phone: 864-223-1950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberNCF-802
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRAD MOORHOUSE
Title or Position: MANAGER
Credential:
Phone: 864-226-8356