Conway Manor, LLC
Conway Manor, LLC is a healthcare organization registered as Skilled Nursing Facility in Conway, SC, holding Type 2 (organization) NPI 1639123748 since 2006. The authorized official on file is Raymond Tiller, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639123748 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Conway Manor, LLC |
| Practice address | 3300 4TH AVE, Conway, SC, 29527 |
| Phone | 8432485728 |
| Fax | 8432486698 |
| Enumeration date | 2006-05-22 |
| Last updated in NPPES | 2010-01-11 |
Authorized official
| Name | Raymond Tiller |
|---|---|
| Title | Administrator |
| Phone | 8432485728 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | NCF-899 | SC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0899NF | Medicaid | SC | — |
Copy-ready billing details
Provider: Conway Manor, LLC NPI: 1639123748 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 3300 4TH AVE, Conway, SC, 29527
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205979093 | Constance Rinaldi | Individual | Physical Therapy Assistant | Conway, SC |
| 1396875548 | Denise Tabacheck | Individual | Occupational Therapist | Conway, SC |
| 1215155742 | Michelle Boudreau | Individual | Occupational Therapy Assistant | Conway, SC |
| 1467663534 | Alan Mackenzie | Individual | Physical Therapist | Conway, SC |
| 1144986282 | Kali Griffin | Individual | Physical Therapist | Conway, SC |
| 1851027908 | Bluebird Healthcare, Inc. | Organization | Skilled Nursing Facility | Conway, SC |
Verify this record
Cross-check NPI 1639123748 against the authoritative CMS record: view Conway Manor, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Conway Manor, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2010-01-11.