QUILLEN MANOR LLC
NPI 1255655650
Assisted Living Facility in Fountain Inn, SC
About Quillen Manor Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUILLEN MANOR LLC (NPI 1255655650) is a healthcare organization registered as an assisted living facility in Fountain Inn, South Carolina and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Jerry Phillip Richmond, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 42D0989215
Quillen Manor LLC · Fountain Inn, SCOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Quillen Manor LLC's NPI number?
The NPI number for Quillen Manor LLC is 1255655650. It was assigned to this organization in the NPPES registry on March 15, 2010.
Where is Quillen Manor LLC located?
Quillen Manor LLC is located at 709 Quillen Ave, Fountain Inn, SC 29644. The listed phone number is (864) 862-3252.
What is Quillen Manor LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Quillen Manor LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D0989215) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Quillen Manor LLC was last updated on March 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
