Provider Demographics
NPI:1609233725
Name:HSRCC SERVICES, LLC
Entity Type:Organization
Organization Name:HSRCC SERVICES, LLC
Other - Org Name:HEATH SPRINGS RESIDENTIAL CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:SAGAR
Authorized Official - Middle Name:V
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-819-4033
Mailing Address - Street 1:985 PAULISON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-3629
Mailing Address - Country:US
Mailing Address - Phone:201-819-4033
Mailing Address - Fax:
Practice Address - Street 1:614 HART ST
Practice Address - Street 2:
Practice Address - City:HEATH SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29058-8411
Practice Address - Country:US
Practice Address - Phone:803-273-3227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility