Organization
NEWBERRY OPERATOR LLC
Active
Other names
J.F. Hawkins, J.F. Hawkins Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER)
(502) 429-8062
Entity
Organization
Contact information
Practice address
1330 KINARD ST, NEWBERRY, SC 29108-3038
(803) 276-2601
(803) 276-2602
Mailing address
7400 NEW LA GRANGE RD STE 100, LOUISVILLE, KY 40222-4870
(502) 429-8062
(866) 360-1098
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
CRC-1250
SC
314000000X
Skilled Nursing Facility
Primary
NCF-234
SC
Other
Enumeration date
01/24/2007
Last updated
05/05/2026
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