Provider Demographics
NPI:1063413219
Name:GRAND STRAND HEALTHCARE, INC.
Entity type:Organization
Organization Name:GRAND STRAND HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:D
Authorized Official - Last Name:BRANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-293-1137
Mailing Address - Street 1:4452 SOCASTEE BLVD
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-7206
Mailing Address - Country:US
Mailing Address - Phone:843-293-1137
Mailing Address - Fax:843-293-1999
Practice Address - Street 1:4452 SOCASTEE BLVD
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-7206
Practice Address - Country:US
Practice Address - Phone:843-293-1137
Practice Address - Fax:843-293-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCNCF573314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC0573NHMedicaid
SC0573NHMedicaid