Healthcare Provider Details

I. General information

NPI: 1821214529
Provider Name (Legal Business Name): NATIONAL HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 BOILING SPRINGS RD
GREER SC
29650
US

IV. Provider business mailing address

215 WEAVER LN
SIMPSONVILLE SC
29681-5127
US

V. Phone/Fax

Practice location:
  • Phone: 864-458-7566
  • Fax:
Mailing address:
  • Phone: 864-234-2951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2065
License Number StateSC

VIII. Authorized Official

Name: MISS MELODY K LANDIS
Title or Position: PHYSICAL THERAPIST ASSISTANT
Credential: PTA
Phone: 864-234-2951