PETRA HEALTH & REHAB OF MCCORMICK, LLC
NPI 1699087841
Skilled Nursing Facility in Mc Cormick, SC

Active since July 03, 2010
204 HOLIDAY RD, MC CORMICK, SC 29835(864) 391-2390(864) 391-2397 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Petra Health & Rehab Of Mccormick, Llc NPPES

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

PETRA HEALTH & REHAB OF MCCORMICK, LLC (NPI 1699087841) is a healthcare organization registered as a skilled nursing facility in Mc Cormick, South Carolina and active in the NPI registry since July 2010. The organization lists Christopher J Murphy, Vice President, as its authorized official.

NPPES Registry Identity

NPI1699087841
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePETRA HEALTH & REHAB OF MCCORMICK, LLC
Location Address204 HOLIDAY RDMc Cormick, SC 29835-3429
Mailing Address204 Holiday RdMc Cormick, SC 29835-3429 · (864) 391-2390 · Fax (864) 391-2397
Fax(864) 391-2397
Organization SubpartYesParent: Ark South Carolina Holding Company, Llc
Authorized OfficialChristopher J MurphyVice President · (901) 937-7994
Enumeration DateJuly 3, 2010
Last NPPES UpdateApril 13, 2012
NPI 1699087841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
204 HOLIDAY RD, Mc Cormick, SC 29835

Other Identifiers 2

MedicaidNF1024SC
Medicare OSCAR/certification425171

Other Providers at the Same Location NPPES 5

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

Skilled Nursing Facility
204 HOLIDAY RD
MC CORMICK, SC 29835
Skilled Nursing Facility
204 HOLIDAY RD
MC CORMICK, SC 29835
Physical Therapist
204 HOLIDAY RD
MC CORMICK, SC 29835
Skilled Nursing Facility
204 HOLIDAY RD
MC CORMICK, SC 29835
Occupational Therapist
204 HOLIDAY RD
MC CORMICK, SC 29835

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 Petra Health & Rehab Of Mccormick, LLC's NPI number?

The NPI number for Petra Health & Rehab Of Mccormick, LLC is 1699087841. It was assigned to this organization in the NPPES registry on July 3, 2010.

Where is Petra Health & Rehab Of Mccormick, LLC located?

Petra Health & Rehab Of Mccormick, LLC is located at 204 Holiday Rd, Mc Cormick, SC 29835. The listed phone number is (864) 391-2390.

What is Petra Health & Rehab Of Mccormick, 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 Petra Health & Rehab Of Mccormick, LLC was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.