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GOOSE CREEK MANOR
NPI 1881034247
Assisted Living Facility in Goose Creek, SC

Active since July 01, 2013
104 MARILYN ST, GOOSE CREEK, SC 29445(843) 572-7442 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Goose Creek Manor NPPES

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

GOOSE CREEK MANOR (NPI 1881034247) is a healthcare organization registered as an assisted living facility in Goose Creek, South Carolina and active in the NPI registry since July 2013. The organization lists Leticia Dedios, Administrator, as its authorized official.

NPPES Registry Identity

NPI1881034247
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNL & JR INCORPORATED
Location Address104 MARILYN STGoose Creek, SC 29445-3104
Mailing Address104 Marilyn StGoose Creek, SC 29445-3104
Phone(843) 572-7442
Organization SubpartNo
Authorized OfficialLeticia DediosAdministrator · (843) 572-7442
Enumeration DateJuly 1, 2013
✔ NPI 1881034247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Licenses✔ Licensed in SC · CRC0762✔ Licensed in SC · CRC0639
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.
104 MARILYN ST, Goose Creek, SC 29445
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Other Names 1

Doing Business AsGoose Creek Manor

Other Providers at the Same Location NPPES

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

STAR CAPITAL INC
Assisted Living Facility
104 MARILYN ST
GOOSE CREEK, SC 29445
Berkeley County (843) 572-7442

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 Nl & Jr Incorporated's NPI number?

The NPI number for Nl & Jr Incorporated is 1881034247. It was assigned to this organization in the NPPES registry on July 1, 2013. The provider is doing business as Goose Creek Manor.

Where is Nl & Jr Incorporated located?

Nl & Jr Incorporated is located at 104 Marilyn St, Goose Creek, SC 29445. The listed phone number is (843) 572-7442.

What is Nl & Jr Incorporated's specialty?

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

When was this NPI record last updated?

The NPPES record for Nl & Jr Incorporated was last updated on July 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.