CONWAY MANOR, LLC
NPI 1639123748
Skilled Nursing Facility in Conway, SC

Active since May 22, 2006
3300 4TH AVE, CONWAY, SC 29527(843) 248-5728(843) 248-6698 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Conway Manor, Llc NPPES

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

CONWAY MANOR, LLC (NPI 1639123748) is a healthcare organization registered as a skilled nursing facility in Conway, South Carolina and active in the NPI registry since May 2006. The organization lists Raymond Tiller, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639123748
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCONWAY MANOR, LLC
Location Address3300 4TH AVEConway, SC 29527-6002
Mailing Address3300 4th AveConway, SC 29527-6002 · (843) 248-5728 · Fax (843) 248-6698
Fax(843) 248-6698
Organization SubpartNo
Authorized OfficialRaymond TillerAdministrator · (843) 248-5728
Enumeration DateMay 22, 2006
Last NPPES UpdateJanuary 11, 2010
NPI 1639123748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in SC · NCF-899
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3300 4TH AVE, Conway, SC 29527

Other Identifiers 3

Medicaid0899NFSC
Medicare ID-Type Unspecified425121SC
Medicare NSC5582990001SC

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3300 4TH AVE
CONWAY, SC 29527
Physical Therapy Assistant
3300 4TH AVE
CONWAY, SC 29527
Occupational Therapy Assistant
3300 4TH AVE
CONWAY, SC 29527
Occupational Therapist
3300 4TH AVE
CONWAY, SC 29527
Physical Therapist
3300 4TH AVE
CONWAY, SC 29527
Skilled Nursing Facility
3300 4TH AVE
CONWAY, SC 29527

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 Conway Manor, LLC's NPI number?

The NPI number for Conway Manor, LLC is 1639123748. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Conway Manor, LLC located?

Conway Manor, LLC is located at 3300 4th Ave, Conway, SC 29527. The listed phone number is (843) 248-5728.

What is Conway Manor, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Conway Manor, LLC was last updated on January 11, 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.