Brookdale Skylyn

LBN: Emeritus Corporation
Brookdale Skylyn is an health care organization with primary practice located at 1705 Skylyn Drive , Spartanburg SC 29307. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Emeritus Corporation can be contacted via phone (864) 582-6838, or through Richardson, Bryan via phone (615) 564-8131.

Contact Information

Primary practice address
1705 Skylyn Drive Spartanburg SC 29307
Fax: (864) 852-1270
Website:
Authorized official contact:
Name: Richardson, Bryan

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X CRC856 South Carolina
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X CRC-0856 South Carolina
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 0856 South Carolina

Profile Details

NPI number 1679780662
LBN Legal business name Emeritus Corporation
DBA Doing business as Brookdale Skylyn
Authorized official Richardson, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Jun 13th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679780662 NPPES
South Carolina MEDICAID RC0856

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