OrganizationActive
Ccc of Fair Play,llc
NPI 1912216565 · Assisted Living Facility · Fair Play, SC
Ccc of Fair Play,llc is a Assisted Living Facility organization in Fair Play, SC (NPI 1912216565).
Provider details
- NPI number
- 1912216565
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Shore, President(610) 203-0210
- License
- CRC1041 (SC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
207 Farm House Ln
Fair Play, SC 29643-2207
Phone: (864) 972-1072
Street-level locationGet directions
Mailing address
207 Farm House Ln
Fair Play, SC 29643-2207
Registry dates
- Enumerated
- 2010-09-30
- Last updated
- 2010-09-30
Frequently asked questions
- What is Ccc of Fair Play,llc's NPI number?
- Ccc of Fair Play,llc's National Provider Identifier (NPI) is 1912216565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccc of Fair Play,llc?
- Ccc of Fair Play,llc is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Ccc of Fair Play,llc located?
- Ccc of Fair Play,llc's practice location on file with NPPES is 207 Farm House Ln, Fair Play, SC 29643-2207.
- What is Ccc of Fair Play,llc's phone number?
- The practice phone number listed in the NPPES registry for Ccc of Fair Play,llc is (864) 972-1072.
- Who is the authorized official for Ccc of Fair Play,llc?
- The authorized official listed on Ccc of Fair Play,llc's NPPES record is Jeffrey Shore, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccc of Fair Play,llc's NPI active?
- Yes — Ccc of Fair Play,llc's NPI (1912216565) is active in the NPPES registry as of the last update on 2010-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.