ASSISTED LIVING CONCEPTS INC NPI 1003003393

Assisted Living Facility in Goose Creek, SC

About ASSISTED LIVING CONCEPTS INC

Assisted Living Concepts Inc is a provider in Goose Creek, SC. The NPI number assigned to this provider is 1003003393. The practitioner's primary taxonomy code is Assisted Living Facility (310400000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Pinewood House.

NPI1003003393 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameASSISTED LIVING CONCEPTS INC
Provider Location Address101 CENTENNIAL BLVD GOOSE CREEK, SC 29445 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressW140 N8981 LILLY ROAD ATTN LEGAL DEPARTMENT MENOMONEE FALLS, WI 53051 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NamePINEWOOD HOUSE Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date10-01-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-01-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ASSISTED LIVING CONCEPTS INC
101 CENTENNIAL BLVD
GOOSE CREEK, SC
ZIP 29445
Phone: (843) 569-2520
Fax: (843) 269-5493
Get Directions

Mailing Address

ASSISTED LIVING CONCEPTS INC
W140 N8981 LILLY ROAD
ATTN LEGAL DEPARTMENT
MENOMONEE FALLS, WI
ZIP 53051
Phone: (262) 257-8888
Fax: (262) 251-7633

Primary Taxonomy

Taxonomy Code310400000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationAssisted Living Facility
TypeNursing & Custodial Care Facilities
License No.CRC1340
License StateSC
Taxonomy DescriptionA 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.

Authorized Official

Authorized Official Name WALTER A LEVONOWICH Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleVICE PRESIDENT CONTROLLER
Authorized Official Phone(262) 257-8888

Map Location


ASSISTED LIVING CONCEPTS INC address is 101 CENTENNIAL BLVD GOOSE CREEK, SC 29445

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376732446 LISA M DELK PT
Individual
Physical Therapist101 CENTENNIAL BLVD
GOOSE CREEK, SC 29445
(843) 764-0544
1659388387 CHRISTY M LARSON OT
Individual
Occupational Therapist101 CENTENNIAL BLVD
GOOSE CREEK, SC 29445
(843) 569-2520
1740582840 ROBIN G LA TONA OTR
Individual
Occupational Therapist101 CENTENNIAL BLVD
GOOSE CREEK, SC 29445
(843) 569-2520
1760527923 SANDRA M CAPRIO COTA
Individual
Occupational Therapy Assistant101 CENTENNIAL BLVD
GOOSE CREEK, SC 29445
(610) 991-2034
1851581615 SHERYL L. DAVIS PTA
Individual
Physical Therapy Assistant101 CENTENNIAL BLVD
GOOSE CREEK, SC 29445
(843) 869-2520