PINEWOOD HOUSE (ASSISTED LIVING CONCEPTS INC) NPI 1003003393

Assisted Living Facility in Goose Creek, SC

Organization Assisted Living Facility

About PINEWOOD HOUSE (ASSISTED LIVING CONCEPTS INC)

Pinewood House (assisted Living Concepts Inc) is a provider established in Goose Creek, South Carolina specializing in assisted living facility. The NPI number of Pinewood House (assisted Living Concepts Inc) is 1003003393 and was assigned on October 2007. The practitioner's primary taxonomy code is 310400000X with license number CRC1340 (SC). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Pinewood House. The authorized official of this NPI record is Walter A Levonowich (Vice President Controller)

NPI

1003003393

Provider NamePINEWOOD HOUSE (ASSISTED LIVING CONCEPTS INC)
Provider Location Address101 CENTENNIAL BLVD GOOSE CREEK, SC 29445
Provider Mailing AddressW140 N8981 LILLY ROAD ATTN LEGAL DEPARTMENT MENOMONEE FALLS, WI 53051
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NamePINEWOOD HOUSE
Other Name TypeDoing Business As (3)
Enumeration Date10-01-2007
Last Update Date10-01-2007

Primary Taxonomy

Taxonomy Code310400000X
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.

Business Address

PINEWOOD HOUSE
101 CENTENNIAL BLVD
GOOSE CREEK, SC
ZIP 29445
Phone: (843) 569-2520
Fax: (843) 269-5493

Get Directions

Mailing Address

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

Authorized Official

Authorized Official Name WALTER A LEVONOWICH
Authorized Official TitleVICE PRESIDENT CONTROLLER
Authorized Official Phone(262) 257-8888

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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is 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. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.