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PALMETTO RIDGE ASSISTED LIVING & MEMORY CARE LLC
NPI 1225371602
Assisted Living Facility in Cheraw, SC

Active since April 03, 2013CLIA 42D0978482 · Waiver
840 MANOR RD, CHERAW, SC 29520(843) 537-4197 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Palmetto Ridge Assisted Living & Memory Care Llc NPPES

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

PALMETTO RIDGE ASSISTED LIVING & MEMORY CARE LLC (NPI 1225371602) is a healthcare organization registered as an assisted living facility in Cheraw, South Carolina and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Toni Cooke-evans, President, as its authorized official.

NPPES Registry Identity

NPI1225371602
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePALMETTO RIDGE ASSISTED LIVING & MEMORY CARE LLC
Location Address840 MANOR RDCheraw, SC 29520-4035
Mailing Address840 Manor Rd, Po Box 278Cheraw, SC 29520-4035
Phone(843) 537-4197
Organization SubpartNo
Authorized OfficialToni Cooke-evansPresident · (843) 537-4197
Enumeration DateApril 3, 2013
✔ NPI 1225371602 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 · RC1393
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.
840 MANOR RD, Cheraw, SC 29520
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Other Identifiers 1

OtherRC1393SC · Sc Dhec License

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 42D0978482

Palmetto Ridge Assisted Living · Cheraw, SC
Active · expires Sep 25, 2026
CLIA Number42D0978482
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorSherri R. Scott
Laboratory Phone(843) 537-4197
Laboratory LocationPalmetto Ridge Assisted Living840 Manor Road, Cheraw, SC 29520
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 Palmetto Ridge Assisted Living & Memory Care LLC's NPI number?

The NPI number for Palmetto Ridge Assisted Living & Memory Care LLC is 1225371602. It was assigned to this organization in the NPPES registry on April 3, 2013.

Where is Palmetto Ridge Assisted Living & Memory Care LLC located?

Palmetto Ridge Assisted Living & Memory Care LLC is located at 840 Manor Rd, Cheraw, SC 29520. The listed phone number is (843) 537-4197.

What is Palmetto Ridge Assisted Living & Memory Care LLC's specialty?

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

Does Palmetto Ridge Assisted Living & Memory Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0978482) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Palmetto Ridge Assisted Living & Memory Care LLC was last updated on April 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.