Provider Demographics
NPI:1417317967
Name:THE SPRINGS AT SIMPSONVILLE
Entity type:Organization
Organization Name:THE SPRINGS AT SIMPSONVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-962-8570
Mailing Address - Street 1:214 E CURTIS ST
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-2622
Mailing Address - Country:US
Mailing Address - Phone:864-962-8570
Mailing Address - Fax:864-962-1666
Practice Address - Street 1:214 E CURTIS ST
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-2622
Practice Address - Country:US
Practice Address - Phone:864-962-8570
Practice Address - Fax:864-962-1666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCCRC-1198310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility