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Iva Skilled Nursing, LLC

Iva Skilled Nursing, LLC is a healthcare organization registered as Skilled Nursing Facility in Iva, SC, holding Type 2 (organization) NPI 1720751076 since 2021. The authorized official on file is John Mitchell, Secretary.

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NPI 1720751076
Entity type Organization (Type 2)
Legal business name Iva Skilled Nursing, LLC
Other name <Unavail>
Practice address 406 W BROAD ST, Iva, SC, 29655
Phone 8643487433
Enumeration date 2021-07-30
Last updated in NPPES 2024-08-23

Authorized official

Name John Mitchell
Title Secretary
Phone 3859883319

Taxonomy & classification

Taxonomy code Specialty Primary License State
314000000X Skilled Nursing Facility Primary
Copy-ready billing details
Provider: Iva Skilled Nursing, LLC
NPI: 1720751076
Taxonomy: 314000000X (Skilled Nursing Facility)
Address: 406 W BROAD ST, Iva, SC, 29655

Providers at this address

NPI Name Type Specialty Location
1528496668 Iva Rehabilitation and Healthcare Center, LLC Organization Skilled Nursing Facility Iva, SC
1326516667 Mary Pendergrass Individual Occupational Therapist Iva, SC
1811465685 Andrea Hays Individual Physical Therapist Iva, SC
1427526060 Sc-Ga2018 Iva Rehabilitation and Healthcare Center, LLC Organization Skilled Nursing Facility Iva, SC
1710457791 Akilah Fetherson Individual Speech-Language Pathologist Iva, SC
1952192833 Annabeth Watkins Individual Physical Therapist Iva, SC

Verify this record

Cross-check NPI 1720751076 against the authoritative CMS record: view Iva Skilled Nursing, 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?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Iva Skilled Nursing, LLC?
Iva Skilled Nursing, LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-08-23.