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MARANATHA MANOR OF SPARTANBURG, INC
NPI 1962480186
Assisted Living Facility in Spartanburg, SC

Active since January 06, 2006
2902 E MAIN STREET EXT, SPARTANBURG, SC 29307(864) 579-0086(864) 579-0466 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maranatha Manor Of Spartanburg, Inc NPPES

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

MARANATHA MANOR OF SPARTANBURG, INC (NPI 1962480186) is a healthcare organization registered as an assisted living facility in Spartanburg, South Carolina and active in the NPI registry since January 2006. The organization lists Sandra M West, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1962480186
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMARANATHA MANOR OF SPARTANBURG, INC
Location Address2902 E MAIN STREET EXTSpartanburg, SC 29307-1252
Mailing Address2902 E Main Street ExtSpartanburg, SC 29307-1252 · (864) 579-0086 · Fax (864) 579-0466
Phone(864) 579-0086
Fax(864) 579-0466
Organization SubpartNo
Authorized OfficialSandra M WestOffice Manager · (864) 579-0086
Enumeration DateJanuary 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962480186 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 · CRC1235
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.
2902 E MAIN STREET EXT, Spartanburg, SC 29307
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Other Identifiers 1

MedicaidRC1235SC

Other Providers at the Same Location NPPES 3

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

SENIOR REHAB SOURCE
Physical Therapist
2902 E MAIN STREET EXT
SPARTANBURG, SC 29307
Spartanburg County (864) 266-3536
MR. CHRISTOPHER COOPER HOFFMAN
Physical Therapist
2902 E MAIN STREET EXT
SPARTANBURG, SC 29307
Spartanburg County (864) 266-3536
BEVID PLACE LLC
Assisted Living Facility
2902 E MAIN STREET EXT
SPARTANBURG, SC 29307
Spartanburg County (864) 579-0086

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 Maranatha Manor Of Spartanburg, Inc's NPI number?

The NPI number for Maranatha Manor Of Spartanburg, Inc is 1962480186. It was assigned to this organization in the NPPES registry on January 6, 2006.

Where is Maranatha Manor Of Spartanburg, Inc located?

Maranatha Manor Of Spartanburg, Inc is located at 2902 E Main Street Ext, Spartanburg, SC 29307. The listed phone number is (864) 579-0086.

What is Maranatha Manor Of Spartanburg, Inc'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 Maranatha Manor Of Spartanburg, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.