IVY GROVE RESIDENTIAL CENTER
NPI 1144404823
Assisted Living Facility in Gaffney, SC

Active since December 18, 2007CLIA 42D1023076 · Waiver
483 LOCKHART LN, GAFFNEY, SC 29341(864) 487-0869(864) 487-8837 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivy Grove Residential Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVY GROVE RESIDENTIAL CENTER (NPI 1144404823) is a healthcare organization registered as an assisted living facility in Gaffney, South Carolina and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through March 7, 2028 and lists Obiajulu E Melekwe, Chief Executive, as its authorized official.

NPPES Registry Identity

NPI1144404823
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHARMONY RESIDENTIAL CARE CENTER, LLC
Location Address483 LOCKHART LNGaffney, SC 29341-2841
Mailing Address483 Lockhart LnGaffney, SC 29341-2841 · (864) 487-0869 · Fax (864) 487-8837
Fax(864) 487-8837
Organization SubpartYes
Authorized OfficialObiajulu E MelekweChief Executive · (864) 488-2006
Enumeration DateDecember 18, 2007
NPI 1144404823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in SC · CRC1458
Definition
A 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.
483 LOCKHART LN, Gaffney, SC 29341

Other Names 1

Doing Business AsIvy Grove Residential Center

Other Identifiers 1

OtherCRC1458SC · Dhec

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1023076

Ivy Grove Residential Center · Gaffney, SC
Active · expires Mar 7, 2028
CLIA Number42D1023076
Laboratory TypeOther
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorObiajulu E. Melekwe
Laboratory Phone(864) 487-0869
Laboratory LocationIvy Grove Residential Center483 Lockhart Lane, Gaffney, SC 29341
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harmony Residential Care Center, LLC's NPI number?

The NPI number for Harmony Residential Care Center, LLC is 1144404823. It was assigned to this organization in the NPPES registry on December 18, 2007. The provider is doing business as Ivy Grove Residential Center.

Where is Harmony Residential Care Center, LLC located?

Harmony Residential Care Center, LLC is located at 483 Lockhart Ln, Gaffney, SC 29341. The listed phone number is (864) 487-0869.

What is Harmony Residential Care Center, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Harmony Residential Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1023076) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Harmony Residential Care Center, LLC was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.