Eastside Manor Inc. DBA Southern Oaks
NPI 1205249927ActiveOrganization· Assisted Living Facility· Greenville, SC
Assisted Living Facility in Greenville, South Carolina, registered in NPPES in June 2014. The authorized official on file is Gail Roberta Boudreau, Executive Director.
Overview
| NPI | 1205249927 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2014 |
| Last updated in NPPES | Jun 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | CRC0611 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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