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Eastside Manor Inc. Dba Southern Oaks

Assisted Living Facility in Greenville, SC · enumerated 2014 · authorized official Gail Boudreau, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205249927

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Registry record

Entity type Organization (Type 2)
Legal business name Eastside Manor Inc. Dba Southern Oaks
Practice address 120 Roper Mountain Road Ext, Greenville, SC, 29615
Phone (864) 288-3271
Fax (864) 365-0697
Enumeration date Jun 10, 2014
Last updated in NPPES Jun 10, 2014

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License CRC0611 (SC) Primary

Authorized official

Name Gail Boudreau
Title Executive Director
Phone (864) 288-3271

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Eastside Manor Inc. Dba Southern Oaks?
NPPES lists Gail Boudreau (Executive Director) as the authorized official for this organization.
What is the NPI number for Eastside Manor Inc. Dba Southern Oaks?
The NPI for Eastside Manor Inc. Dba Southern Oaks is 1205249927, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-10.