Provider Demographics
NPI:1083652127
Name:NHC HEALTHCARE-GARDEN CITY LLC
Entity Type:Organization
Organization Name:NHC HEALTHCARE-GARDEN CITY LLC
Other - Org Name:NHC HEALTHCARE, GARDEN CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER OF LLC
Authorized Official - Prefix:
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:B
Authorized Official - Last Name:KINNEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:864-662-1452
Mailing Address - Street 1:9405 HWY 17 BYP
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-9301
Mailing Address - Country:US
Mailing Address - Phone:843-650-2213
Mailing Address - Fax:
Practice Address - Street 1:9405 HWY 17 BYP
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-9301
Practice Address - Country:US
Practice Address - Phone:843-650-2213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL HEALTHCARE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-02
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCNCF-825314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC0574NHMedicaid
SC0574NHMedicaid