GREENWOOD REGIONAL REHABILITATION HOSPITAL LLC
NPI 1407628829
Clinic/Center - Multi-Specialty in Greenwood, SC

Active since October 30, 2023CLIA 42D1070602 · Waiver
1530 PARKWAY, GREENWOOD, SC 29646(505) 856-5300 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2025, Oct 30, 2023 (2 updates tracked since 2023).

About Greenwood Regional Rehabilitation Hospital Llc NPPES

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

GREENWOOD REGIONAL REHABILITATION HOSPITAL LLC (NPI 1407628829) is a healthcare organization registered as a multi-specialty in Greenwood, South Carolina and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Denise Kann, Vice President And Secretary, as its authorized official.

NPPES Registry Identity

NPI1407628829
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGREENWOOD REGIONAL REHABILITATION HOSPITAL LLC
Location Address1530 PARKWAYGreenwood, SC 29646-4027
Mailing Address1024 N Galloway Ave Ste 102Mesquite, TX 75149-2434 · (972) 216-2299
Organization SubpartNo
Authorized OfficialDenise KannVice President And Secretary · (972) 216-2299
Enumeration DateOctober 30, 2023
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1407628829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1530 PARKWAY, Greenwood, SC 29646

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greenwood Regional Rehabilitation Hospital Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Greenwood Regional Rehabilitation Hospital LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1598720112
105 VINECREST CT # 600
Greenwood, SC 29646
(864) 227-2900
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1053349357
420 THOMSON CIR
Abbeville, SC 29620
(864) 366-5011
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 42D1070602

Greenwood Regional Rehabilitation Hospital · Greenwood, SC
Active · expires Jul 2, 2027
CLIA Number42D1070602
Laboratory TypeHospital
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorClifford A. Monda,do
Laboratory Phone(864) 330-9070
Laboratory LocationGreenwood Regional Rehabilitation Hospital1530 Parkway, Greenwood, SC 29646
CLIA data matches this NPI record on: Address Name
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 Greenwood Regional Rehabilitation Hospital LLC's NPI number?

The NPI number for Greenwood Regional Rehabilitation Hospital LLC is 1407628829. It was assigned to this organization in the NPPES registry on October 30, 2023.

Where is Greenwood Regional Rehabilitation Hospital LLC located?

Greenwood Regional Rehabilitation Hospital LLC is located at 1530 Parkway, Greenwood, SC 29646. The listed phone number is (505) 856-5300.

What is Greenwood Regional Rehabilitation Hospital LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Greenwood Regional Rehabilitation Hospital LLC enrolled in Medicare?

Yes. Greenwood Regional Rehabilitation Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greenwood Regional Rehabilitation Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Greenwood Regional Rehabilitation Hospital LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Greenwood Regional Rehabilitation Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1070602) is associated with this NPI, valid through July 2, 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 Greenwood Regional Rehabilitation Hospital LLC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.