OrganizationActive
Supplemental Healthcare
NPI 1477981199 · Nursing Facility/Intermediate Care Facility · Easley, SC
Provider details
- NPI number
- 1477981199
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Holly Mathis, Staffing Manager(877) 571-2124
- License
- RCP5096 (SC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Tulip Tree Ct
Easley, SC 29642-7600
Phone: (864) 617-2584
Street-level locationGet directions
Mailing address
200 Tulip Tree Ct
Easley, SC 29642-7600
Registry dates
- Enumerated
- 2013-10-15
- Last updated
- 2013-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.