Ccc of Fair Play,llc
NPI 1912216565ActiveOrganization· Assisted Living Facility· Fair Play, SC
Assisted Living Facility in Fair Play, South Carolina, registered in NPPES in September 2010. The authorized official on file is Jeffrey Shore, President.
Overview
| NPI | 1912216565 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2010 |
| Last updated in NPPES | Sep 30, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | CRC1041 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Assisted Living Facility providers in Fair Play
- 1609991652