CCC OF FAIR PLAY,LLC
NPI 1912216565
Assisted Living Facility in Fair Play, SC

Q: What is Ccc Of Fair Play,llc's NPI number?

The NPI number for Ccc Of Fair Play,llc is 1912216565. It was assigned to this organization in the NPPES registry on September 30, 2010.

Q: What is Ccc Of Fair Play,llc's specialty?

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

Active since September 30, 2010

207 FARM HOUSE LN, FAIR PLAY, SC 29643(864) 972-1072 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ccc Of Fair Play,llc NPPES

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

CCC OF FAIR PLAY,LLC (NPI 1912216565) is a healthcare organization registered as an assisted living facility in Fair Play, South Carolina and active in the NPI registry since September 2010. The organization lists Jeffrey Shore, President, as its authorized official.

NPPES Registry Identity

NPI1912216565

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCCC OF FAIR PLAY,LLC

Location Address207 FARM HOUSE LNFair Play, SC 29643-2207

Mailing Address207 Farm House LnFair Play, SC 29643-2207 · (864) 972-1072

Phone(864) 972-1072

Organization SubpartNo

Authorized OfficialJeffrey ShorePresident · (610) 203-0210

Enumeration DateSeptember 30, 2010

✔ NPI 1912216565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in SC · CRC1041

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.

207 FARM HOUSE LN, Fair Play, SC 29643

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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 Ccc Of Fair Play,llc's NPI number?

The NPI number for Ccc Of Fair Play,llc is 1912216565. It was assigned to this organization in the NPPES registry on September 30, 2010.

Where is Ccc Of Fair Play,llc located?

Ccc Of Fair Play,llc is located at 207 Farm House Ln, Fair Play, SC 29643. The listed phone number is (864) 972-1072.

What is Ccc Of Fair Play,llc'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 Ccc Of Fair Play,llc was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.