April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Abortion Clinic
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
PLANNED PARENTHOOD SOUTH ATLANTIC CHARLESTON
Charleston / Non-Profit Corporation
1312 ASHLEY RIVER RD CHARLESTON, SC 29407-5365
100 S BOYLAN AVE RALEIGH, NC 27603-1802
FAC.#:843-571-5161
Licensed Units 1
PLANNED PARENTHOOD SOUTH ATLANTIC
EVORA-POWELL KRISTINA PH#: 843-571-5161 Facility Email:
[email protected]
AB-0008 / 11/30/2018
Totals For Facility/License Type: Abortion Clinic Number of Activities/Facilities licensed:
1
1
Number Licensed Units:
1
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Adult Day Care
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
ACTIVE DAY OF CHARLESTON
Charleston / Corporation
1954 ASHLEY RIVER RD STE K CHARLESTON, SC 29407 FAC.#:843-762-5291
6 NESHAMINY INTERPLEX STE 401 FEASTERVILLE TREVOSE, PA 19053-6964
STROUD LYNN PH#: Facility Email:
[email protected]
ACTIVE SC ONE INC
Licensed Units 68
ADC-0130 / 10/31/2018
Number of Participants:
68
ADULT DAYCARE 41
Charleston / Limited Liability
1572 HWY 41 MOUNT PLEASANT, SC
1572 HWY 41 MOUNT PLEASANT, SC
29466
FAC.#:843-856-4203
29466
ADULT DAY CARE 41 LLC
HABERSHAM CAROLINE C PH#: 843-708-3002 Facility Email:
[email protected]
ADC-0301 / 03/31/2019
Number of Participants:
21
CLUB HORIZONS OF CHARLESTON
Charleston / Limited Liability
8088 RIVERS AVE NORTH CHARLESTON, SC
2111 W JODY RD FLORENCE, SC 29501-2031
29406
FAC.#:843-343-4865
ADC-0418 / 06/30/2018
Number of Participants:
151
EAST COOPER SENIOR DAY CARE 999 LAKE HUNTER CIR STE C
Charleston / Ltd. Liability 999 LAKE HUNTER CIR STE C
MOUNT PLEASANT, SC 29464-5427 FAC.#:843-216-1070 JENKINS MARTHA E PH#: 843-216-1070
MOUNT PLEASANT, SC
24
29464-5427
MARTHA E AND JOSIE JENKINS JR LLC
[email protected]
ADC-0280 / 12/31/2018 24
Number of Participants: SEA ISLAND ADULT DAY CENTER 3627 MAYBANK HWY
Charleston / Non-Profit Corporation 3627 MAYBANK HWY
JOHNS ISLAND, SC 29455-4836 INABINETT JR CURTIS PH#: Facility Email:
151
CLUB HORIZONS OF CHARLESTON LLC
BELISSARY ANN PH#: 843-343-4865 Facility Email:
[email protected]
Facility Email:
21
FAC.#:843-559-5502
JOHNS ISLAND, SC
29455-4836
SEA ISLAND COMPREHENSIVE HEALTH CARE CORPORATION
[email protected]
ADC-0286 / 11/30/2018 31
Number of Participants: TRUCARE ADULT DAY CENTER 9225 UNIVERSITY BLVD STE E-1A
Charleston / Corporation PO BOX 325
35
NORTH CHARLESTON, SC 29406-9149 FAC.#:843-569-7200 LADSON, SC 29456-0325 TRUCARE HEALTH SERVICES INC YOUNG VALERIE D PH#: 843-569-7200 Facility Email:
31
[email protected]
ADC-0225 / 07/31/2018 35
Number of Participants: Totals For Facility/License Type: Adult Day Care Number of Activities/Facilities licensed:
6
2
Number Licensed Units:
330
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Ambulatory Surgery
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
CENTER FOR ADVANCED SURGERY
Charleston / Limited Liability
3821 COMMERCIAL CENTER DR LADSON, SC 29456 FAC.#:843-797-3676
137 GATEWAY DR LADSON, SC 29456
VROMAN DAVID T PH#: 843-797-3676 Facility Email:
[email protected]
CENTER FOR ADVANCED SURGERY LLC
Licensed Units
ASF-0123 / 11/30/2018
Operating Rooms:
2
Procedure Rooms:
2
Endoscopy Rooms:
0
CHARLESTON ENDOSCOPY CENTER
Charleston / Limited Liability
1962 CHARLIE HALL BLVD CHARLESTON, SC 29414-5837
1962 CHARLIE HALL BLVD CHARLESTON, SC 29414-5837
FAC.#:843-722-8000
Operating Rooms:
0
ASF-0079 / 01/31/2019
Procedure Rooms:
CHARLESTON SURGERY CENTER
0
Endoscopy Rooms:
5
Charleston / Limited Liability Limited Partnership 2690 LAKE PARK DR
29406-9108
FAC.#:843-764-0992 NORTH CHARLESTON, SC
4
29406-9108
ASF-0011 / 03/31/2018 (Renewal Pending)
Procedure Rooms:
1
Endoscopy Rooms:
1
COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS 1439 STUART ENGALS BLVD UNIT 100
Charleston / Limited Liability 1439 STUART ENGALS BLVD UNIT 100
MOUNT PLEASANT, SC FENN CHRISTIE PH#:
MOUNT PLEASANT, SC
Facility Email:
29464-3686
FAC.#:843-531-6615
0
Facility Email:
29464-3686
ASF-0116 / 10/31/2018 0 Procedure Rooms: Endoscopy Rooms:
2
Charleston / Ltd. Liability 1A BURTON HILLS BLVD
ELMS ENDOSCOPY CENTER 2671 ELMS PLANTATION BLVD NORTH CHARLESTON, SC 29406-9165 JOHNSON NANCY PH#: 843-797-6800
2
COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS LLC
[email protected]
Operating Rooms:
6
CHARLESTON SURGERY CENTER LP
MEDLEY HELENE PH#: 843-764-0992 Facility Email:
[email protected] Operating Rooms:
5
CHARLESTON ENDOSCOPY CENTER LLC
PUNTENEY WANDA M PH#: 843-722-8000 Facility Email:
[email protected]
2690 LAKE PARK DR NORTH CHARLESTON, SC
4
FAC.#:843-797-6800 NASHVILLE, TN
3
37215-6187
ELMS ENDOSCOPY CENTER LLC
[email protected]
Operating Rooms:
0
ASF-0098 / 03/31/2019 Procedure Rooms: 0 Endoscopy Rooms:
3
LOWCOUNTRY AMBULATORY CENTER
Charleston / Limited Liability
1844 WALLACE SCHOOL RD CHARLESTON, SC 29407-4822
1844 WALLACE SCHOOL RD CHARLESTON, SC 29407-4822
FAC.#:843-556-2545
LOWCOUNTRY AMBULATORY CENTER LLC
NELSON PAIGE PH#: 843-556-2545 Facility Email:
[email protected] Operating Rooms:
ASF-0118 / 02/28/2019 2
Procedure Rooms:
3
1
Endoscopy Rooms:
0
hlfactcc.rdf
3
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Ambulatory Surgery
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
PALMETTO ENDOSCOPY CENTER
Charleston / Limited Liability
2073 CHARLIE HALL BLVD CHARLESTON, SC 29414-5834
PALMETTO ENDOSCOPY CENTER LLC
BRISSON RICHARD PH#: 843-571-0643 Facility Email:
[email protected] 0
ASF-0084 / 02/28/2019
Procedure Rooms:
0
Endoscopy Rooms:
2
PHYSICIANS EYE SURGERY CENTER
Charleston / Limited Liability
2060 CHARLIE HALL BLVD STE 301 CHARLESTON, SC 29414-6066 FAC.#:843-571-4800
1A BURTON HILLS BLVD NASHVILLE, TN 37215-6187
BLANTON JENNIFER PH#: 843-571-4800 Facility Email:
[email protected]
PHYSICIANS EYE SURGERY CENTER LLC
Operating Rooms:
Procedure Rooms:
1
Endoscopy Rooms:
0
Charleston / Non-Profit Corporation
CHARLESTON, SC 29412-2507 FAC.#:843-789-1550 GETSINGER ROBYN PH#: 843-789-1550
ROPER HOSPITAL INC
ROPER ST FRANCIS EYE CENTER 18 FARMFIELD AVE
Charleston / Limited Liability 18 FARMFIELD AVE
CHARLESTON, SC 29407-7700 FAC.#:843-958-2625 STEPHENS MICHELLE PH#: 843-958-2625
CHARLESTON, SC
6
325 FOLLY RD STE 200 CHARLESTON, SC 29412-2507
ASF-0114 / 01/31/2019
[email protected] Facility Email: Operating 2 Endoscopy Rooms: Rooms: 4 Procedure Rooms:
0 4
29407-7700
LOWCOUNTRY SURGERY CENTER LLC
[email protected]
Operating Rooms:
3
ASF-0049 / 10/31/2018 1 Procedure Rooms: Endoscopy Rooms:
0
SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTERCharleston / Limited Liability 1106 CHUCK DAWLEY BLVD STE 100 1106 CHUCK DAWLEY BLVD STE 100 MOUNT PLEASANT, SC 29464-4195 FAC.#:843-849-1551 EDDINGS ELIZABETH A PH#: 843-849-1551 Facility Email:
5
ASF-0097 / 12/31/2018 4
ROPER HOSPITAL AMBULATORY SURGERY & PAIN MANAGEMENT JAMES ISLAND 325 FOLLY RD STE 200
Facility Email:
2
2073 CHARLIE HALL BLVD CHARLESTON, SC 29414-5834
FAC.#:843-571-0643
Operating Rooms:
Licensed Units
MOUNT PLEASANT, SC
2
29464-4195
SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER LLC
[email protected] OM
Operating Rooms:
ASF-0112 / 11/30/2018 Procedure Rooms: 1 Endoscopy Rooms:
0
SURGERY CENTER OF CHARLESTON
Charleston / Limited Liability
1849 SAVAGE RD CHARLESTON, SC
1849 SAVAGE RD CHARLESTON, SC
29407-4726
FAC.#:843-576-2600
4
29407-4726
CHARLESTON ENT ASSOCIATES LLC
HAWKINS AMANDA PH#: 843-576-2617 Facility Email:
[email protected] Operating Rooms:
3
ASF-0117 / 04/30/2018
Procedure Rooms:
4
0
Endoscopy Rooms:
0
hlfactcc.rdf
4
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Ambulatory Surgery
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
TRIDENT AMBULATORY SURGERY CENTER
Charleston / Limited Liability Limited Partnership 9313 MEDICAL PLAZA DR STE 102
9313 MEDICAL PLAZA DR STE 102 CHARLESTON, SC 29406-9153 FAC.#:843-797-8992
CHARLESTON, SC
6
6
29406-9153
TRIDENT AMBULATORY SURGERY CENTER LP
FISK JOYCE PH#: 843-797-8992 Facility Email:
[email protected] Operating Rooms:
Licensed Units
ASF-0024 / 05/31/2018
Procedure Rooms:
0
Endoscopy Rooms:
0
Totals For Facility/License Type: Ambulatory Surgery Number of Activities/Facilities licensed:
13
5
Number Licensed Units:
53
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Birthing Center
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
CHARLESTON BIRTH PLACE
Charleston / Corporation
9133 TIMBER ST STE 101 NORTH CHARLESTON, SC 29406-9075
Licensed Units 2
9133 TIMBER ST STE 101 FAC.#:843-818-1123 NORTH CHARLESTON, SC 29406-9075 CHARLESTON BIRTH PLACE
RATHBUN LESLEY PH#: 843-818-1123 Facility Email:
[email protected]
BC-0007 / 01/31/2019
Totals For Facility/License Type: Birthing Center Number of Activities/Facilities licensed:
1
6
Number Licensed Units:
2
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Body Piercing
Facility Name Location Street Location City, State Administrator/Phone EXOTIC IMPRESSIONS 8780 RIVERS AVE STE 316 NORTH CHARLESTON, SC 29406-9283
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
Licensed Units
Charleston / Ltd. Liability 8780 RIVERS AVE STE 316 FAC.#:843-797-2280 NORTH CHARLESTON, SC 29406-9283
FINCH MATTHEW D PH#: 843-797-2280 Facility Email:
[email protected]
EXOTIC IMPRESSIONS LLC
MUSEUM OF LIVING ARTS 1595 SAM RITTENBURG BLVD CHARLESTON, SC 29407 FAC.#:843-225-7127
Charleston / Limited Liability 1734 SAVANNAH HWY CHARLESTON, SC 29407-6255
DAVIS LAURA M PH#: 843-442-9575
MUSEUM OF LIVING ARTS LLC
Facility Email:
BP-0194 / 02/28/2019
[email protected]
1
BP-0192 / 04/30/2019
MUSEUM OF LIVING ARTS SPRING ST 47 SPRING ST UNIT A CHARLESTON, SC 29403-5416 FAC.#:843-937-5300
Charleston / Limited Liability 1734 SAVANNAH HWY STE A CHARLESTON, SC 29407-6255
DAVIS LAURA M PH#: 843-442-9575
PANCHO AND LEFTY LLC
Facility Email:
1
[email protected]
1
BP-0242 / 12/31/2018
Charleston / Sole Proprietorship PIERCING PERFECTION OF NORTH CHARLESTON II 3025 ASHLEY PHOSPHATE RD STE A3 3025 ASHLEY PHOSPHATE RD STE A3 NORTH CHARLESTON, SC 29418-8447 FAC.#:843-793-1708 NORTH CHARLESTON, SC 29418-8447
1
DUNN JAMES A
DUNN JAMES A PH#: 843-793-1708 Facility Email:
[email protected]
BP-0271 / 12/31/2018
Totals For Facility/License Type: Body Piercing Number of Activities/Facilities licensed:
4
7
Number Licensed Units:
4
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Community Residential Care Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
ASHLEY GARDENS ALZHEIMER'S SPECIAL CARE CENTER
Charleston / Limited Liability
2290 HENRY TECKLENBURG DR CHARLESTON, SC 29414 FAC.#:843-556-4100
PO BOX 820528 VANCOUVER, WA
CARLETON KELLY JEAN PH#: 843-556-4100 Facility Email:
[email protected]
CHARLESTON CARE GROUP LLC
Alzheimer Care:Yes
Max # Resident:66
Facility Email:
98682-0011
Alzheimer Unit: Yes
Max # Beds: 66
Charleston / Ltd. Liability 4550 GREAT OAK DR FAC.#:843-760-0831 NORTH CHARLESTON, SC
Max # Resident:0
100
29418-5001
AGAPE ASSISTED LIVING OF NORTH CHARLESTON LLC
[email protected]
Alzheimer Care:No
CRC-1288 / 02/28/2019 Alzheimer Unit: No
Max # Beds: 0
Certifications:None ASHLEY RIVER PLANTATION
Charleston / Limited Liability
2333 ASHLEY RIVER RD CHARLESTON, SC 29414-4755
400 CENTRE ST NEWTON, MA 02458-2094
FAC.#:843-766-9898
Max # Resident:51
CRC-1376 / 06/30/2018 Alzheimer Unit: Yes
Certifications:None BELL'S PROFESSIONAL RESIDENTIAL HOME CARE 1910 DALTON ST
NORTH CHARLESTON, SC
Max # Resident:0
29415-2034
CRC-1209 / 05/31/2018 Alzheimer Unit: No
Max # Beds: 0
Certifications:None BENTON HOUSE OF WEST ASHLEY
Charleston /
1445 BLUEWATER WAY CHARLESTON, SC 29414
11175 CICERO DR STE 500 ALPHARETTA, GA 30022-0004
FAC.#:843-576-9667
Max # Resident:0
80
WEST ASHLEY SLP LLC
LYON RICHARD E PH#: 843-576-9667 Facility Email:
[email protected] Alzheimer Care:Yes
20
BELL'S PROFESSIONAL RESIDENTIAL HOME CARE LLC
[email protected]
Alzheimer Care:No
Max # Beds: 51
Charleston / Ltd. Liability PO BOX 72034
CHARLESTON, SC 29406-3961 FAC.#:843-744-1765 BELL TROY A PH#: 843-744-1765 Facility Email:
123
SNH SE ASHLEY RIVER TENANT LLC
DAVIS SEAN C PH#: 843-766-9898 Facility Email:
[email protected] Alzheimer Care:Yes
66
CRC-1595 / 06/30/2018
Certifications:None ASHLEY LANDING ASSISTED LIVING 4550 GREAT OAK DR NORTH CHARLESTON, SC 29418-5001 BAKER GEORGE M PH#: 843-760-0831
Licensed Units
CRC-1897 / 12/31/2018 Alzheimer Unit: Yes
Max # Beds: 22
Certifications:None
8
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Community Residential Care Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY
Charleston / Non-Profit Corporation
1 BISHOP GADSDEN WAY CHARLESTON, SC 29412-3500
1 GADSDEN WAY CHARLESTON, SC
FAC.#:843-762-3300
Max # Resident:20
Alzheimer Unit: Yes
Max # Beds: 20
Charleston / Sole Proprietorship 9270 N HWY 17
MC CLELLANVILLE, SC 29458-9422 FAC.#:843-887-4180 BOWLES BENJAMIN PH#: 843-887-4180
[email protected]
Alzheimer Care:No
29412
CRC-0451 / 11/30/2018
Certifications:None BOWLES COMMUNITY CARE HOME 9270 N HWY 17
Facility Email:
MC CLELLANVILLE, SC
29458-9422
BENJAMIN BOWLES
Alzheimer Unit: No
Max # Beds: 0
Certifications:None BOWLES COMMUNITY CARE HOME 2
Charleston / Sole Proprietorship
9274 N HWY 17 MCCLELLANVILLE, SC
9274 N HWY 17 MCCLELLANVILLE, SC
FAC.#:843-887-4180
Max # Resident:0
29458-9422
CRC-1497 / 11/30/2018 Alzheimer Unit: No
Certifications:None BRIDGE ASSISTED LIVING AT LIFE CARE CENTER OF CHARLESTON 2590 ELMS PLANTATION BLVD NORTH CHARLESTON, SC 29406-8105 FAC.#:843-553-6342 NELSON MICHELLE M PH#: 843-553-6342 Facility Email:
[email protected] Alzheimer Care:No Max # Resident:0
Max # Beds: 0
Charleston / Ltd. Liability 3570 KEITH ST NW CLEVELAND, TN
100
37312-4309
CHARLESTON RETIREMENT INVESTORS LLC
CRC-1064 / 10/31/2018 Alzheimer Unit: No
Max # Beds: 0
Certifications:None BROOKDALE CHARLESTON
Charleston / Limited Liability
2030 CHARLIE HALL BLVD CHARLESTON, SC 29414-5830
2030 CHARLIE HALL BLVD CHARLESTON, SC 29414-5830
FAC.#:843-763-4055
HBP LEASECO LLC
FOARD PAULA PH#: 843-763-4055 Facility Email:
[email protected] Alzheimer Care:Yes
Max # Resident:29
5
BOWLES BENJAMIN
BOWLES BENJAMIN PH#: 843-887-4180 Facility Email:
[email protected] Alzheimer Care:No
16
CRC-0090 / 09/30/2018
Max # Resident:0
29458-9422
112
BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY
TIPTON SARAH E H PH#: 843-762-3300 Facility Email:
[email protected] Alzheimer Care:Yes
Licensed Units
CRC-1291 / 09/30/2018 Alzheimer Unit: Yes
Max # Beds: 33
Certifications:None
9
hlfactcc.rdf
100
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Community Residential Care Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
CABADING HOMES #1
Charleston / Corporation
3431 RIVERS AVE NORTH CHARLESTON, SC
3431 RIVERS AVE FAC.#:843-747-3050 NORTH CHARLESTON, SC
29405-7760
Max # Resident:0
Alzheimer Unit: No
Max # Beds: 0
Charleston / Corporation 2149 DORCHESTER RD
NORTH CHARLESTON, SC 29405-7760 FAC.#:843-745-9182 NORTH CHARLESTON, SC CABADING HOMES INC CABADING LOLITA B PH#: 843-745-9182
[email protected]
Alzheimer Care:No
Max # Resident:0
Alzheimer Unit: No
29405-7763
Alzheimer Care:No
CRC-0825 / 07/31/2018
Max # Resident:0
Alzheimer Unit: No
Max # Beds: 0
Charleston / State PO BOX 22708 CHARLESTON, SC
8
29413-2708
DISABILITIES BOARD OF CHARLESTON COUNTY
[email protected]
CRC-1371 / 01/31/2019
Max # Resident:0
Alzheimer Unit: No
Certifications:None CARE WITH LOVE
Max # Beds: 0
Charleston / Sole Proprietorship 29405-7777
2240 DOVER ST FAC.#:843-744-0313 NORTH CHARLESTON, SC
Max # Resident:0
29405-7939
NELSON TIFFANY
DORSCHER-MCCORMACK DEBORAH PH#: 843-744-0313 Facility Email:
[email protected] Alzheimer Care:No
25
CABADING HOMES INC
JAMES ISLAND, SC 29412-9212 FAC.#:843-795-6983 SIMMONS CYNTHIA Y PH#: 843-795-6983
3408 LENAPE ST NORTH CHARLESTON, SC
Max # Beds: 0
FAC.#:843-745-9182
Certifications:None CAMP COMMUNITY RESIDENCE 1251 CAMP RD
Alzheimer Care:No
29405-7763
Charleston /
CABADING ALLAN M PH#: 843-745-9182 Facility Email:
[email protected]
Facility Email:
15
CRC-0571 / 02/28/2019
Certifications:None CABADING HOMES #3 2149 DORCHESTER RD NORTH CHARLESTON, SC
29405-7760
CRC-0394 / 07/31/2018
Certifications:None CABADING HOMES #2 3435 RIVERS AVE
Facility Email:
18
CABADING HOMES INC
CABADING LOLITA B PH#: 843-745-9182 Facility Email:
[email protected] Alzheimer Care:No
Licensed Units
CRC-1499 / 11/30/2018 Alzheimer Unit: No
Max # Beds: 0
Certifications:None
10
hlfactcc.rdf
5
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Community Residential Care Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
CARE WITH LOVE II
Charleston / Sole Proprietorship
2109 COMMANDER RD NORTH CHARLESTON, SC
2109 COMMANDER RD FAC.#:843-718-3034 NORTH CHARLESTON, SC
29405-7704
Max # Resident:0
29405-7704
CRC-1523 / 08/31/2018 Alzheimer Unit: No
Certifications:None CARTER-MAY HOME 1660 INGRAM RD
Max # Beds: 0
Charleston / Corporation 1660 INGRAM RD
CHARLESTON, SC 29407-4242 FAC.#:843-556-8314 BAUDER JANINE NEWELL PH#: 843-556-8314 Facility Email:
5
NELSON TIFFANY
MCCORMACK DEBORAH D PH#: 843-718-3034 Facility Email:
[email protected] Alzheimer Care:No
Licensed Units
CHARLESTON, SC
25
29407-4242
CATHOLIC CHARITIES OF THE DIOCESE OF CHARLESTON INC
[email protected]
CRC-0064 / 04/30/2018 Alzheimer Care:Yes
Max # Resident:1
Alzheimer Unit: No
Max # Beds: 0
Certifications:None COOPER HALL AT THE PALMS OF MT PLEASANT
Charleston /
937 BOWMAN RD OFC MOUNT PLEASANT, SC
400 CENTRE ST NEWTON, MA 02458-2094
29464-3222
FAC.#:843-884-6949
SNH SE SG TENANT LLC
WOODWARD GREGORY M PH#: 843-884-6949 Facility Email:
[email protected] Alzheimer Care:No
Max # Resident:0
44
CRC-1432 / 06/30/2018 Alzheimer Unit: No
Certifications:None CUMMINGS COMMUNITY RESIDENTIAL CARE HOME 2606 STARK LN
Max # Beds: 0
Charleston / Sole Proprietorship P O BOX 7
8
NORTH CHARLESTON, SC 29405-5537 FAC.#:843-747-7088 GOOSE CREEK, SC 29445-0007 CUMMINGS OLYMPIA W CUMMINGS OLYMPIA W PH#: 843-747-7088 Facility Email:
[email protected]
Alzheimer Care:No
Max # Resident:0
CRC-0891 / 10/31/2018 Alzheimer Unit: No
Certifications:None CURAMENG RESIDENTIAL HOME CARE 2021 COSGROVE AVE NORTH CHARLESTON, SC
29405-7710
Charleston / Corporation 2021 COSGROVE AVE FAC.#:843-566-1266 NORTH CHARLESTON, SC
Max # Resident:0
8
29405-7710
JFJ INC
REYES MILAGROS L PH#: 843-566-1266 Facility Email:
[email protected] Alzheimer Care:No
Max # Beds: 0
CRC-1187 / 11/30/2018 Alzheimer Unit: No
Max # Beds: 0
Certifications:None
11
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Community Residential Care Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
Licensed Units
DAYSPRING ASSISTED LIVING
Charleston / Ltd. Liability
16
5146 TOWLES RD HOLLYWOOD, SC 29449-6119 PH#: Facility Email:
5146 TOWLES RD HOLLYWOOD, SC 29449-6119
FAC.#:843-889-9757
DAYSPRING ASSISTED LIVING LLC
[email protected]
Alzheimer Care:Yes
Max # Resident:16
CRC-1385 / 04/30/2018 Alzheimer Unit: No
Certifications:None DAYSPRING OF JOHNS ISLAND 3455 BOHICKET RD
Charleston / Corporation 3455 BOHICKET RD JOHNS ISLAND, SC
JOHNS ISLAND, SC 29455-7222 FAC.#:843-768-5335 MARSHALL YASSAMIN B PH#: 843-768-5335 Facility Email:
Max # Resident:6
29455-7222
CRC-1915 / 03/31/2018 (Renewal Pending) Alzheimer Unit: No
Max # Beds: 0
Certifications:None EVERGREEN RESIDENTIAL CARE INC I
Charleston / Corporation
1612 EVERGREEN ST CHARLESTON, SC 29407-6263
PO BOX 31774 CHARLESTON, SC
PH#: Facility Email:
FAC.#:843-402-6860
8
29417-1774
EVERGREEN RESIDENTIAL CARE INC
[email protected]
Alzheimer Care:No
Max # Resident:0
CRC-0026 / 03/31/2018 (Renewal Pending) Alzheimer Unit: No
Certifications:None FARMINGTON COMMUNITY RESIDENCE 1269 CAMP RD
CHARLESTON, SC
Max # Resident:0
29405-5702
29413-2708
CRC-1370 / 01/31/2019 Alzheimer Unit: No
Certifications:None FIRST CHOICE HOME CARE FACILITY 2003 COSGROVE AVE NORTH CHARLESTON, SC
8
DISABILITIES BOARD OF CHARLESTON COUNTY
[email protected]
Alzheimer Care:No
Max # Beds: 0
Charleston / State PO BOX 22708
JAMES ISLAND, SC 29412-9212 FAC.#:843-795-0766 CAPERS MADLYN PH#: 843-795-0766 Facility Email:
24
DAYSPRING OF JOHNS ISLAND INC
[email protected]
Alzheimer Care:Yes
Max # Beds: 0
Max # Beds: 0
Charleston / Partnership 2003 COSGROVE AVE FAC.#:843-225-0637 NORTH CHARLESTON, SC
8
29405-5702
DQR CAMBA/NM CAMBA/GT MARTINEZ/P MARTINEZ/P PAJOTA
SANDERS JUANITA PH#: 843-225-0637 Facility Email:
[email protected]
CRC-0742 / 10/31/2018 Alzheimer Care:No
Max # Resident:0
Alzheimer Unit: No
Max # Beds: 0
Certifications:None
12
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Community Residential Care Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
FRANKE HOME
Charleston / Non-Profit Corporation
1885 RIFLE RANGE RD MOUNT PLEASANT, SC 29464-9440
Max # Resident:22
86
300 MINISTRY DR IRMO, SC 29063-2366
FAC.#:843-856-4700
LUTHERAN HOMES OF SOUTH CAROLINA INC (NPC)
STOLL SANDRA A PH#: 843-856-4700 Facility Email:
[email protected] Alzheimer Care:Yes
Licensed Units
CRC-1082 / 09/30/2018 Alzheimer Unit: Yes
Certifications:None GUARDIAN ANGELS RESIDENTIAL CARE 2126 SUCCESS ST
Max # Beds: 22
Charleston / Corporation 2126 SUCCESS ST
18
NORTH CHARLESTON, SC 29405-7992 FAC.#:843-744-0448 NORTH CHARLESTON, SC 29405-7992 GUARDIAN ANGELS ASSISTED LIVING INC JANKE BONIFACIA E PH#: 843-744-0448 Facility Email:
[email protected]
Alzheimer Care:No
Max # Resident:0
CRC-1049 / 11/30/2018 Alzheimer Unit: No
Certifications:None IVORY'S LOVING CARE RESIDENTIAL FACILITY 2827 SPRUILL AVE NORTH CHARLESTON, SC
29405-8050
Charleston / Partnership
2827 SPRUILL AVE FAC.#:843-745-2339 NORTH CHARLESTON, SC
Max # Resident:0
Alzheimer Unit: No
CHARLESTON, SC
Max # Resident:0
Alzheimer Unit: No
Max # Beds: 0
Charleston / State PO BOX 22708 FAC.#:843-767-1066 CHARLESTON, SC
Max # Resident:0
8
29413-2708
DISABILITIES BOARD OF CHARLESTON COUNTY
SIMMONS CYNTHIA PH#: 843-767-1066 Facility Email:
[email protected] Alzheimer Care:No
29412-8831
CRC-1256 / 09/30/2018
Certifications:None LAMBS ROAD COMMUNITY RESIDENCE 29418-3521
5
PAULINE LADSON
[email protected]
4788 LAMBS RD NORTH CHARLESTON, SC
Max # Beds: 0
Charleston / Sole Proprietorship 1116 CAMP RD
CHARLESTON, SC 29412-8831 FAC.#:843-762-6443 LADSON PAULINE M PH#: 843-762-6443
Alzheimer Care:No
29405-8050
CRC-1383 / 04/30/2018
Certifications:None LADSON'S RESIDENTIAL HOME CARE 1116 CAMP RD
Facility Email:
7
JUANITA SANDERS & GENEVA NELSON
SANDERS JUANITA PH#: 843-745-2339 Facility Email:
[email protected] Alzheimer Care:No
Max # Beds: 0
CRC-0690 / 09/30/2018 Alzheimer Unit: No
Max # Beds: 0
Certifications:None
13
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Community Residential Care Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
LANGIT'S ASSISTED LIVING FACILITY
Charleston / Private
1273 REMOUNT RD NORTH CHARLESTON, SC
29406-3439
1273 REMOUNT RD FAC.#:843-554-1671 NORTH CHARLESTON, SC
Max # Resident:0
29406-3439
CRC-0861 / 03/31/2018 (Renewal Pending) Alzheimer Unit: No
Certifications:None LENEVAR COMMUNITY RESIDENCE 1435 W LENEVAR DR
Max # Beds: 0
Charleston / State 8 PO BOX 22708, DISABILITIES BOARD OF CHARLESTON COUNTY CHARLESTON, SC 29413-2708
CHARLESTON, SC 29407-5118 FAC.#:843-766-3061 COLEMAN SHARON PH#: 843-766-3061 Facility Email:
70
LANGIT'S RESIDENTIAL HOME CARE INC
LANGIT CRESENCIA B PH#: 843-554-1671 Facility Email:
[email protected] Alzheimer Care:No
Licensed Units
DISABILITIES BOARD OF CHARLESTON COUNTY
[email protected]
CRC-0943 / 07/31/2018 Alzheimer Care:No
Max # Resident:0
Alzheimer Unit: No
Certifications:None MARIA'S PRIORITY CARE RESIDENTIAL HOME I 3117 MEETING STREET RD NORTH CHARLESTON, SC 29405-7980
Charleston / Sole Proprietorship
Max # Resident:0
PARANAL ROGERIA R
CRC-0937 / 07/31/2018 Alzheimer Unit: No
Max # Beds: 0
Certifications:None MARIA'S PRIORITY CARE RESIDENTIAL HOME II-B 4583 DURANT AVE, B
Charleston / Partnership PO BOX 61870
NORTH CHARLESTON, SC RELLORA JESUS N PH#:
JESUS N AND WILHELMINA C RELLORA
Facility Email:
29405-5212
FAC.#:843-566-0460 NORTH CHARLESTON, SC
[email protected]
Alzheimer Care:No
Max # Resident:0
29405-5212
Alzheimer Unit: No
PO BOX 61870 FAC.#:843-566-0460 NORTH CHARLESTON, SC
Max # Resident:0
29419-1870
Max # Beds: 0
Charleston / Partnership
5
29419-1870
JESUS N AND WILHELMINA C RELLORA
RELLORA JESUS N PH#: Facility Email:
[email protected] Alzheimer Care:No
7
CRC-0772 / 06/30/2018
Certifications:None MARIA'S PRIORITY CARE RESIDENTIAL HOME II-F 4583 DURANT AVE, F NORTH CHARLESTON, SC
7
3117 MEETING STREET RD FAC.#:843-554-8890 NORTH CHARLESTON, SC 29405-7980
PARANAL ROGERIA R PH#: 843-554-8890 Facility Email:
[email protected] Alzheimer Care:No
Max # Beds: 0
CRC-0774 / 06/30/2018 Alzheimer Unit: No
Max # Beds: 0
Certifications:None
14
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Community Residential Care Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
MARIA'S PRIORITY CARE RESIDENTIAL HOME III
Charleston / Sole Proprietorship
PARANAL ROGERIA R
PARANAL ROGERIA R PH#: 843-554-0064 Facility Email:
[email protected] Max # Resident:0
CRC-0938 / 07/31/2018 Alzheimer Unit: No
Certifications:None MCLEOD MANOR 1707 MCLEOD AVE
CHARLESTON, SC
Max # Resident:0
29406-4551
Alzheimer Unit: No
2712 MIDLAND PARK RD FAC.#:843-569-0025 NORTH CHARLESTON, SC
Max # Resident:0
29406-4551
CRC-0905 / 01/31/2019 Alzheimer Unit: No
Max # Beds: 0
Charleston / Partnership PO BOX 1647 CHARLESTON, SC
CHARLESTON, SC 29403-2636 FAC.#:843-723-7889 STENT JOSEPHINE I PH#: 843-723-7889
Max # Resident:0
29402-1647
CRC-0459 / 02/28/2019 Alzheimer Unit: No
Max # Beds: 0
Certifications:None NICHOLS RESIDENTIAL CARE FACILITY
Charleston / Partnership
702 E RAILROAD AVE LINCOLNVILLE, SC 29485-7228
702 E RAILROAD AVE SUMMERVILLE, SC 29485-7228
FAC.#:843-821-9608
Max # Resident:0
5
ALONZO NICHOLS AND LAVERNE NICHOLS
NICHOLS LAVERNE PH#: 843-821-9608 Facility Email:
[email protected] Alzheimer Care:No
10
JOSEPHINE STENT & ELOISE CHESTNUT
[email protected]
Alzheimer Care:No
52
MIDLAND PARK ENTERPRISES INC
Certifications:None MY FATHER'S HOUSE 22 LARNES ST
Facility Email:
Max # Beds: 0
Charleston / Corporation
SINGIAN ROGELIO C PH#: 843-569-0025 Facility Email:
[email protected] Alzheimer Care:No
29412-2922
CRC-0425 / 03/31/2018 (Renewal Pending)
Certifications:None MIDLAND PARK RESIDENTIAL HOME CARE 2712 MIDLAND PARK RD NORTH CHARLESTON, SC
16
MCLEOD MANOR INC
[email protected]
Alzheimer Care:No
Max # Beds: 0
Charleston / Corporation 1707 MCLEOD AVE
CHARLESTON, SC 29412-2922 FAC.#:843-795-8780 ALSTON MARTHA S PH#: 843-795-8780 Facility Email:
7
3115 MEETING STREET RD FAC.#:843-554-0064 NORTH CHARLESTON, SC 29405-7980
3115 MEETING STREET RD NORTH CHARLESTON, SC 29405-7980
Alzheimer Care:No
Licensed Units
CRC-0973 / 12/31/2018 Alzheimer Unit: No
Max # Beds: 0
Certifications:None
15
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Community Residential Care Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
NORTH HAVEN RESIDENTIAL CARE HOME
Charleston / Corporation
4326 LESLIE ST NORTH CHARLESTON, SC
29418-5441
4326 LESLIE ST FAC.#:843-767-2541 NORTH CHARLESTON, SC
Max # Resident:2
16
29418-5441
NORTH HAVEN RESIDENTIAL CARE HOME INC
LANGIT LEONORA D PH#: 843-767-2541 Facility Email:
[email protected] Alzheimer Care:Yes
Licensed Units
CRC-0877 / 08/31/2018 Alzheimer Unit: No
Certifications:None PALMETTO RESIDENTIAL CARE OF NORTH CHARLESTON 2834 SPRUILL AVE
Max # Beds: 0
Charleston / Corporation PO BOX 31774
12
NORTH CHARLESTON, SC 29405-8051 FAC.#:843-566-1509 CHARLESTON, SC 29417-1774 EVERGREEN RESIDENTIAL CARE INC LESESNE CLARA P PH#: 843-566-1509 Facility Email:
[email protected]
Alzheimer Care:No
Max # Resident:0
CRC-1322 / 08/31/2018 Alzheimer Unit: No
Max # Beds: 0
Certifications:None PALMETTOS OF CHARLESTON
Charleston / Limited Liability
1900 ASHLEY CROSSING DR CHARLESTON, SC 29414-5751
1900 ASHLEY CROSSING DR CHARLESTON, SC 29414-5751
FAC.#:843-852-0505
NHC PLACE-CHARLESTON LLC
MARTIN MEGAN W PH#: 843-852-0505 Facility Email:
[email protected] Alzheimer Care:Yes
Max # Resident:15
60
CRC-1263 / 07/31/2018 Alzheimer Unit: Yes
Certifications:None PARK CIRCLE HOME 1 1133 BEXLEY ST
Max # Beds: 15
Charleston / Limited Liability PO BOX 40729
5
NORTH CHARLESTON, SC 29405-4726 FAC.#:843-746-9800 CHARLESTON, SC 29423 WINDSOR HILL RCF LLC RELLORA WILHELMINA C PH#: 843-746-9800 Facility Email:
[email protected]
Alzheimer Care:No
Max # Resident:0
CRC-1992 / 11/30/2018 Alzheimer Unit: No
Certifications:None PARK CIRCLE HOME 2 1131 BEXLEY ST NORTH CHARLESTON, SC
Charleston / Limited Liability 29405-4726
PO BOX 40729 FAC.#:843-746-9800 CHARLESTON, SC
Max # Resident:0
29423
WINDSOR HILL RCF LLC
RELLORA WILHELMINA C PH#: 843-747-4800 Facility Email:
[email protected] Alzheimer Care:No
Max # Beds: 0
CRC-1993 / 11/30/2018 Alzheimer Unit: No
Max # Beds: 0
Certifications:None
16
hlfactcc.rdf
5
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Community Residential Care Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
PETTIS ANGELS RESIDENTIAL CARE
Charleston / Sole Proprietorship
2614 MADDEN DR NORTH CHARLESTON, SC
3879 WALNUT ST FAC.#:843-308-9413 CHARLESTON, SC
29405-5529
Max # Resident:0
29405-7050
CRC-0850 / 01/31/2019 Alzheimer Unit: No
Max # Beds: 0
Certifications:None PRESIDENTIAL COMMUNITY CARE HOME FACILITY 2019 HACKEMANN AVE
Charleston / Limited Liability 2015 RIVERVIEW AVE
NORTH CHARLESTON, SC 29405-8323 BUSH TESSIE J PH#: 843-996-4683
PRESIDENTIAL COMMUNITY CARE HOME FACILITY LLC
Facility Email:
FAC.#:843-478-2499 NORTH CHARLESTON, SC
[email protected]
Alzheimer Care:No
Max # Resident:0
5
ETHEL S PETTIS
PETTIS ETHEL S PH#: 843-308-9413 Facility Email:
[email protected] Alzheimer Care:No
Licensed Units
5
29405
CRC-1869 / 02/28/2019 Alzheimer Unit: No
Max # Beds: 0
Certifications:None SANDPIPER COURTYARD ASSISTED LIVING
Charleston / Limited Liability
1047 ANNA KNAPP BLVD MOUNT PLEASANT, SC 29464-3133
1047 ANNA KNAPP BLVD MOUNT PLEASANT, SC 29464-3133
FAC.#:843-884-7977
64
SANDPIPER INDEPENDENT AND ASSISTED LIVINGDELAWARE LLC
THOMAS CHARLES M PH#: 843-884-7977 Facility Email:
[email protected]
CRC-1325 / 09/30/2018 Alzheimer Care:No
Max # Resident:0
Alzheimer Unit: No
Certifications:None SAVANNAH HALL ASSISTED LIVING 1010 LAKE HUNTER CIR
Charleston / 400 CENTRE ST
MOUNT PLEASANT, SC 29464-5417 FAC.#:843-388-2030 WOODWARD GREGORY M PH#: 843-388-2030 Facility Email:
NEWTON, MA
Max # Resident:16
16
02458-2094
SNH SE SG TENANT LLC
[email protected]
Alzheimer Care:Yes
Max # Beds: 0
CRC-1431 / 06/30/2018 Alzheimer Unit: Yes
Max # Beds: 16
Certifications:None SAVANNAH PLACE
Charleston /
1501 SECESSIONVILLE RD CHARLESTON, SC 29412-8236
330 N WABASH AVE STE 3700 CHICAGO, IL 60611-7605
FAC.#:843-762-1396
SAVANNAH AID OPCO LLC
MIKELL TYLER G PH#: 843-762-1396 Facility Email:
[email protected] Alzheimer Care:Yes
Max # Resident:2
44
CRC-1410 / 11/30/2018 Alzheimer Unit: No
Max # Beds: 0
Certifications:None
17
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Community Residential Care Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
SECESSIONVILLE COMMUNITY RESIDENCE
Charleston / State
1217 SECESSIONVILLE RD CHARLESTON, SC 29412-9749
PO BOX 22708, DISABILITIES BOARD OF CHARLESTON COUNTY CHARLESTON, SC 29413-2708
FAC.#:843-795-2134
CAPERS MADELYN PH#: 843-795-2134 Facility Email:
[email protected]
Licensed Units 8
DISABILITIES BOARD OF CHARLESTON COUNTY
CRC-1287 / 12/31/2018 Alzheimer Care:No
Max # Resident:0
Alzheimer Unit: No
Certifications:None SERENITY MANOR 4018 S RHETT AVE
Charleston / Sole Proprietorship PO BOX 21934
NORTH CHARLESTON, SC 29405-7163 FAC.#:843-554-0733 CHARLESTON, SC FIELDS HATTIE B FIELDS HATTIE B PH#: 843-554-0733 Facility Email:
[email protected]
Alzheimer Care:No
Max # Beds: 0
Max # Resident:0
29413-1934
CRC-1472 / 02/28/2019 Alzheimer Unit: No
Max # Beds: 0
Certifications:None SOMERBY OF MOUNT PLEASANT
Charleston / Ltd. Liability
3100 TRADITION CIR MOUNT PLEASANT, SC
1200 CORPORATE DR STE 225 BIRMINGHAM, AL 35242-5421
29466-7153
FAC.#:843-849-3096
Max # Resident:35
CRC-1481 / 09/30/2018 Alzheimer Unit: Yes
Certifications:None SWEETGRASS COURT SENIOR LIVING COMMUNITY 1010 ANNA KNAPP BLVD
Max # Beds: 38
Charleston / 400 CENTRE ST, FIVE STAR QUALITY CARE-OBX OPERATOR LLC NEWTON, MA 02458-2094
MOUNT PLEASANT, SC 29464-5400 FAC.#:843-971-7756 DENSON TRA'ASHIA PH#: 843-971-7756 Facility Email:
118
DOMINION SENIOR LIVING OF MT PLEASANT LLC
THARP CHRIS PH#: 843-849-3096 Facility Email:
[email protected] Alzheimer Care:Yes
10
38
FIVE STAR QUALITY CARE-OBX OPERATOR LLC
[email protected]
CRC-1428 / 12/31/2018 Alzheimer Care:Yes
Max # Resident:38
Alzheimer Unit: Yes
Certifications:None SWEETGRASS VILLAGE ASSISTED LIVING COMMUNITY 601 MATHIS FERRY RD MOUNT PLEASANT, SC 29464-2623
Charleston /
85
FAC.#:843-884-8812 FIVE STAR QUALITY CARE-OBX OPERATOR LLC
MCLEOD LISA DICKEY PH#: 843-884-8812 Facility Email:
[email protected] Alzheimer Care:No
Max # Beds: 38
Max # Resident:0
CRC-1427 / 12/31/2018 Alzheimer Unit: No
Max # Beds: 0
Certifications:None
18
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Community Residential Care Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
TRICOUNTY CRISIS STABILIZATION CENTER
Charleston / Corporation
5 CHARLESTON CENTER DR STE 246 CHARLESTON, SC 29401-1162 FAC.#:843-414-2350
2100 CHARLIE HALL BLVD CHARLESTON, SC 29414
OLIVER RICHARD H PH#: 843-958-3300 Facility Email:
[email protected]
CHARLESTON DORCHESTER MENTAL HEALTH CENTER
Alzheimer Care:No
Max # Resident:0
Facility Email:
10
CRC-1956 / 06/30/2018 Alzheimer Unit: No
Certifications:None VANWYEVER RESIDENTIAL CARE FACILITY 2009 COSGROVE AVE NORTH CHARLESTON, SC 29405-5702 PETTIS ETHEL S PH#: 843-744-6065
Licensed Units
Max # Beds: 0
Charleston / Sole Proprietorship 2009 COSGROVE AVE
FAC.#:843-744-6065 NORTH CHARLESTON, SC
10
29405-5702
AYESHA T WASHINGTON ESQUIRE AS SPECIAL ADMINISTRATOR OF THE ESTATE RHODELLE W FULTON
[email protected]
CRC-0638 / 09/30/2018 Alzheimer Care:Yes
Max # Resident:0
Alzheimer Unit: No
Max # Beds: 0
Certifications:None Totals For Facility/License Type: Community Residential Care Facility Number of Activities/Facilities licensed:
57
19
Number Licensed Units:
1,769
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Habilitation R15
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
DILLS BLUFF COMMUNITY RESIDENCE
Charleston / State
936 DILLS BLUFF RD CHARLESTON, SC 29412-5316
PO BOX 4706, DDSN C/O DAVID GOODELL COLUMBIA, SC 29240-4706
FAC.#:843-805-5800
Licensed Units 8
SC DEPARTMENT OF DISABILITIES AND SPECIAL NEEDS
TURNER EVELYN ASH PH#: 843-805-5800 Facility Email:
[email protected]
MR15-0131 / 10/31/2018
Totals For Facility/License Type: Habilitation R15 Number of Activities/Facilities licensed:
1
20
Number Licensed Units:
8
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Home Health
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
AMEDISYS HOME HEALTH OF CHARLESTON
Charleston / Limited Liability
2675 LAKE PARK DR NORTH CHARLESTON, SC
29406-9100
2675 LAKE PARK DR FAC.#:843-553-1263 NORTH CHARLESTON, SC
Licensed Units 3
29406-9100
AMEDISYS HOME HEALTH OF SOUTH CAROLINA LLC
CRAVEN KAREN L PH#: Facility Email:
[email protected]
HHA-0172 / 09/30/2018
Counties Served: Berkeley, Charleston, Dorchester License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy: Y Med. Social Services: Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: AMEDISYS HOME HEALTH OF CHARLESTON EAST 1027 PHYSICIANS DR STE 210
Charleston / Ltd. Liability 1027 PHYSICIANS DR STE 210
CHARLESTON, SC 29414-5352 RITTER-PEACOCK KRISTI PH#:
CHARLESTON, SC
FAC.#:843-556-0200
5
29414-5352
AMEDISYS SC LLC
Facility Email:
[email protected] HHA-0191 / 01/31/2019 Counties Served: Berkeley, Charleston, Colleton, Dorchester, Hampton License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy: Y Med. Social Services: Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: BRIGHTSTAR CARE OF CHARLESTON 4130 FABER PL DR STE 108 NORTH CHARLESTON, SC 29405-8502
Charleston / Limited Liability
1
4130 FABER PL DR STE 108 FAC.#:843-300-3008 NORTH CHARLESTON, SC 29405-8502 TOWNES HOLDINGS LLC
JAMES KRISTIN H PH#: Facility Email:
[email protected]
HHA-0229 / 06/30/2018
Counties Served: Charleston License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy: Y Med. Social Services: Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: IV-IG INFUSION INTERIM HEALTHCARE 4995 LACROSS RD STE 1300
Charleston / Limited Liability 4995 LACROSS RD STE 1300
N CHARLESTON, SC 29406 FAC.#:843-518-5437 BAKER DAWN M PH#: 843-569-5510
N CHARLESTON, SC
29418
LOWCOUNTRY NURSING GROUP LLC
Facility Email:
[email protected] HHA-0208 / 03/31/2019 Counties Served: Beaufort, Berkeley, Charleston, Dorchester License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy: Y Med. Social Services: Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: BEAUFORT IS RESTRICTED TO PEDIATRIC HOME HEALTH 0-18 YOA ONLY
21
hlfactcc.rdf
4
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Home Health
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
INTREPID USA HEALTHCARE SERVICES
Charleston / Corporation
2694 LAKE PARK DR 1ST FLOOR NORTH CHARLESTON, SC 29406-9826
Licensed Units 6
4055 VALLEY VIEW LN STE 500 FAC.#:843-569-3516 DALLAS, TX 75244-5048 FC OF SOUTH CAROLINA INC
MYERS ELIZABETH A PH#: 843-569-3516 Facility Email:
[email protected]
HHA-0180 / 06/30/2018
Counties Served: Allendale, Berkeley, Charleston, Colleton, Dorchester, Georgetown License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy: Y Med. Social Services: Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: KINDRED AT HOME-CHARLESTON 4975 LACROSS RD STE 354
Charleston / Corporation 3 LICENSING & CERTIFICATION DEPT., 12900 FOSTER ST STE 400 OVERLAND PARK, KS 66213-2696
CHARLESTON, SC 29406-6525 FAC.#:843-744-1191 HENNING ALISON PH#: 843-744-1191 Facility Email:
GENTIVA CERTIFIED HEALTHCARE CORPORATION
[email protected]
HHA-0051 / 08/31/2018 Counties Served: Berkeley, Charleston, Dorchester License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy: Y Med. Social Services: Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: MUSC HEALTH AT HOME BY BAYADA-CHARLESTON
Charleston / Limited Liability
176 CROGHAN SPUR RD STE 102 CHARLESTON, SC 29407 FAC.#:843-576-5378
176 CROGHAN SPUR RD STE 102 CHARLESTON, SC 29407
MICHAEL RYAN PH#: 843-576-5378 Facility Email:
[email protected]
SCHHA LLC
3
HHA-0324 / 12/31/2018
Counties Served: Berkeley, Charleston, Dorchester License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy: Y Med. Social Services: Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: NHC HOMECARE-LOW COUNTRY 2070 NORTHBROOK BLVD STE B1
Charleston / Limited Liability 2070 NORTHBROOK BLVD SUITE B1
NORTH CHARLESTON, SC 29406 FAC.#:843-851-0999 FLYNN WILLIAM R PH#: 843-851-0999
NORTH CHARLESTON, SC
29406
NHC HOMECARE-SOUTH CAROLINA LLC
Facility Email:
[email protected] HHA-0138 / 04/30/2018 Counties Served: Bamberg, Berkeley, Charleston, Clarendon, Dorchester, Williamsburg License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy: Y Med. Social Services: Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: DIETARY CONSULTATION
22
hlfactcc.rdf
6
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Home Health
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
PHC HOME HEALTH
Charleston / Corporation
408 FOLLY RD CHARLESTON, SC
29412-2625
Licensed Units 3
1923-D MAYBANK HWY CHARLESTON, SC 29412-2115
FAC.#:843-762-3601
HEDGEMARK BRENTWOOD MEDICAL SERVICES INC
DURRENCE HUGH D PH#: 843-762-3601 Facility Email:
[email protected]
HHA-0084 / 04/30/2018
Counties Served: Berkeley, Charleston, Dorchester License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy: Y Med. Social Services: Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: ROPER-ST FRANCIS HOME HEALTH CARE 1483 TOBIAS GADSON BLVD STE 208
Charleston / Non-Profit Corporation 1483 TOBIAS GADSON BLVD STE 208
CHARLESTON, SC 29407-4796 FAC.#:843-402-7000 MELLO BONNIE C PH#: 843-402-7000
CHARLESTON, SC
Facility Email:
[email protected] Counties Served: Berkeley, Charleston, Dorchester License Restrictions:
HHA-0062 / 12/31/2018
3
29407-4796
ROPER HOSPITAL INC
Physical Therapy: Y Speech Therapy: Y Occupational Therapy: Y Med. Social Services: Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: REGISTERED DIETITIAN/CDE; CERTIFIED WOUND AND OSTOMY NURSES; TELEMONITORING SEA ISLAND HOME HEALTH
Charleston / Non-Profit Corporation
3627 MAYBANK HWY JOHNS ISLAND, SC
PO BOX 689 JOHNS ISLAND, SC
COOK CARA PH#: Facility Email:
29455-4836
FAC.#:843-559-9925
2
29455
SEA ISLAND COMPREHENSIVE HEALTH CARE CORPORATION
[email protected]
HHA-0025 / 04/30/2018
Counties Served: Charleston, Colleton License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy: Y Med. Social Services: Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: SKILLED NURSING Totals For Facility/License Type: Home Health Number of Activities/Facilities licensed:
11
23
Number Licensed Units:
39
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Hospice Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
Licensed Units
HOSPICE CENTER OF HOSPICE OF CHARLESTON
Charleston / Ltd. Liability
20
676 WANDO PARK BLVD MOUNT PLEASANT, SC 29464-7936
12900 FOSTER ST STE 400 OVERLAND PARK, KS 66213-2696
FAC.#:843-654-5755
WIREGRASS HOSPICE OF SOUTH CAROLINA LLC
TOZIER MARY E PH#: Facility Email:
[email protected]
HPF-0005 / 08/31/2018
Totals For Facility/License Type: Hospice Facility Number of Activities/Facilities licensed:
1
24
Number Licensed Units:
20
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Hospice Program
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
AGAPE HOSPICE OF THE LOW COUNTRY
Charleston / Corporation
Licensed Units 46
2680 ELMS PLANTATION BLVD STE 101 2680 ELMS PLANTATION BLVD STE 101 NORTH CHARLESTON, SC 29406-7101 FAC.#:843-553-7122 NORTH CHARLESTON, SC 29406-7101 AGAPE HOSPICE OF THE LOW COUNTRY INC
WHITEHEAD MATTHEW PH#: 843-553-7122 Facility Email:
[email protected]
HPC-0124 / 06/30/2018
Counties Served: Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown, Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens, Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York HEARTLAND HOSPICE SERVICES-CHARLESTON Charleston / Limited Liability 12 1470 TOBIAS GADSON BLVD STE 203 CHARLESTON, SC 29407-4370 FAC.#:843-766-7646
333 N SUMMIT ST 16TH FL TOLEDO, OH 43604-1531
DAVILA CHRISTINE PH#: 843-766-7646 Facility Email:
[email protected]
HEARTLAND HOSPICE SERVICES LLC
HPC-0136 / 12/31/2018
Counties Served: Bamberg, Beaufort, Berkeley, Charleston, Clarendon, Colleton, Dorchester, Georgetown, Hampton, Jasper, Orangeburg, Williamsburg HOMESTEAD HOSPICE OF CHARLESTON Charleston / Limited Liability 7410 NORTHSIDE DR STE 101 10888 CRABAPPLE RD
46
NORTH CHARLESTON, SC 29420-4200 FAC.#:843-266-1100 ROSWELL, GA 30075-5850 HOMESTEAD HOSPICE OF CHARLESTON LLC TILLEY BARBARA JEAN PH#: 843-266-1100 Facility Email:
[email protected] HPC-0190 / 09/30/2018 Counties Served: Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown, Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens, Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York HOSPICE OF CHARLESTON Charleston / Ltd. Liability 15 4975 LACROSS RD STE 200 CHARLESTON, SC 29406-6531
12900 FOSTER ST STE 400 OVERLAND PARK, KS 66213-2696
FAC.#:843-529-3100
WIREGRASS HOSPICE OF SOUTH CAROLINA LLC
TOZIER MARY E PH#: Facility Email:
[email protected]
HPC-0007 / 08/31/2018
Counties Served: Beaufort, Berkeley, Charleston, Clarendon, Colleton, Darlington, Dillon, Dorchester, Florence, Georgetown, Horry, Marion, Marlboro, Orangeburg, Williamsburg
25
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Hospice Program
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
INTREPID USA HOSPICE-LOW COUNTRY
Charleston / Corporation
2694 LAKE PARK DR 2ND FLOOR NORTH CHARLESTON, SC 29406-9826
Licensed Units 14
4055 VALLEY VIEW LN 5TH FLOOR FAC.#:843-553-2503 DALLAS, TX 75244-5048 FC OF SOUTH CAROLINA INC
SMITH GEORGIA L PH#: 843-553-2503 Facility Email:
[email protected]
HPC-0166 / 12/31/2018
Counties Served: Allendale, Bamberg, Beaufort, Berkeley, Calhoun, Charleston, Clarendon, Colleton, Dorchester, Georgetown, Hampton, Jasper, Orangeburg, Williamsburg ROPER HOSPICE Charleston / Non-Profit Corporation 8 1483 TOBIAS GADSON BLVD STE 109 1483 TOBIAS GADSON BLVD STE 208 CHARLESTON, SC
CHARLESTON, SC 29407-4796 FAC.#:843-402-3260 MELLO BONNIE C PH#: 843-402-7000
29407-4796
ROPER HOSPITAL INC
Facility Email:
[email protected] HPC-0164 / 01/31/2019 Counties Served: Beaufort, Berkeley, Charleston, Colleton, Dorchester, Georgetown, Hampton, Jasper SEA ISLAND COMPREHENSIVE HOSPICE CARE Charleston / Corporation 4 3627 MAYBANK HWY JOHNS ISLAND, SC
29455
FAC.#:843-559-3190 SEA ISLAND COMPREHENSIVE HEALTHCARE CORPORATION
RUCKER TUMIKO PH#: 843-559-4137 Facility Email:
[email protected]
HPC-0214 / 02/28/2019
Counties Served: Berkeley, Charleston, Colleton, Dorchester Totals For Facility/License Type: Hospice Program Number of Activities/Facilities licensed:
7
26
Number Licensed Units:
145
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Hospital or Institutional General Infirmary
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
BON SECOURS-ST FRANCIS XAVIER HOSPITAL
Charleston / Non-Profit Corporation
2095 HENRY TECKLENBURG DR CHARLESTON, SC 29414-5734
2095 HENRY TECKLENBURG DR CHARLESTON, SC 29414-5734
FAC.#:843-402-1000
General: NICU:
204 0
204
BON SECOURS-ST FRANCIS XAVIER HOSPITAL INC
JACKSON ANTHONY PH#: 843-402-1006 Facility Email:
[email protected] Licensed Beds: Other Beds :
Licensed Units
HTL-0750 / 07/31/2018
Psychiatric: 0 Rehab: Neonatal Special Care: 11
0
Substance Abuse:
0
Certifications:Perinatal Level II, JCAHO Accredited CITADEL INFIRMARY Charleston / State 171 MOULTRIE ST CHARLESTON, SC 29409-0001
FAC.#:843-953-6847
BOARD OF VISITORS THE CITADEL
CAPELL CAREY M PH#: 843-953-6847 Facility Email:
[email protected] Licensed Beds: Other Beds :
General: NICU:
HTL-0035 / 05/31/2018
Psychiatric: Rehab: 0 Neonatal Special Care: 0
38 0
38
171 MOULTRIE ST CHARLESTON, SC 29409-0001
Substance Abuse:
0
Certifications:None EAST COOPER MEDICAL CENTER
Charleston / Corporation
2000 HOSPITAL DR MOUNT PLEASANT, SC
2000 HOSPITAL DR MOUNT PLEASANT, SC
29464-3764
FAC.#:843-416-6210
General: NICU:
130 0
130
29464-3764
EAST COOPER COMMUNITY HOSPITAL INC
DOWNES PATRICK PH#: 843-416-6210 Facility Email:
[email protected] Licensed Beds: Other Beds :
0
HTL-0447 / 03/31/2019
Psychiatric: Rehab: 0 Neonatal Special Care: 10
0
Substance Abuse:
0
Certifications:Trauma Center Level III, Perinatal Level II, JCAHO Accredited HEALTHSOUTH REHABILITATION HOSPITAL OF CHARLESTON Charleston / Limited Liability Company (multiple member) 9181 MEDCOM ST 9181 MEDCOM ST CHARLESTON, SC PH#: Facility Email: Licensed Beds: Other Beds :
29406-9184
FAC.#:843-820-7777
CHARLESTON, SC
NICU:
29406-9184
HEALTHSOUTH REHABILITATION HOSPITAL OF CHARLESTON LLC
[email protected]
General:
49
0
HTL-0648 / 12/31/2018 Rehab: 49 Substance Abuse:
0
Psychiatric:
0
Neonatal Special Care:
0
0
Certifications:JCAHO Accredited
27
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Hospital or Institutional General Infirmary
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
MOUNT PLEASANT HOSPITAL
Charleston / Non-Profit Corporation
3500 N HWY 17 MOUNT PLEASANT, SC
29466-9123
General: NICU:
85 0
ROPER ST FRANCIS MOUNT PLEASANT HOSPITAL
HTL-0909 / 10/31/2018
Psychiatric: 0 Rehab: Neonatal Special Care: 0
Certifications:Perinatal Level I, JCAHO Accredited MUSC MEDICAL CENTER 169 ASHLEY AVE CHARLESTON, SC
29425-8905
85
3510 HWY 17 N STE 200 MOUNT PLEASANT, SC 29466-8229
FAC.#:843-724-2954
JACKSON ANTHONY PH#: 843-402-1005 Facility Email:
[email protected] Licensed Beds: Other Beds :
Licensed Units
0
Substance Abuse:
0
Charleston / District
713
169 ASHLEY AVE, MUSC HEALTH ROOM H241A MAIN HOSPITAL CHARLESTON, SC 29425-8905
FAC.#:843-792-4000
CAWLEY MD PATRICK J PH#: 843-792-4000 Facility Email:
[email protected]
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
HTL-0811 / 11/30/2018 Licensed Beds: Other Beds :
General: NICU:
608 16
Psychiatric: Rehab: 82 Neonatal Special Care: 50
Substance Abuse:
0
23
Certifications:Abortions, Trauma Center Level I, Perinatal Level III Regional, JCAHO Accredited PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH Charleston / Limited Liability 108 2777 SPEISSEGGER DR NORTH CHARLESTON, SC
29405-8229
2777 SPEISSEGGER DR FAC.#:843-747-5830 NORTH CHARLESTON, SC
Licensed Beds: Other Beds :
General: NICU:
0 0
29405-8229
PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH LLC
HAUGER CLINT D PH#: 843-747-5830 Facility Email:
[email protected]
HTL-0729 / 08/31/2018
Psychiatric: Rehab: 92 Neonatal Special Care: 0
Substance Abuse:
0
Certifications:JCAHO Accredited ROPER HOSPITAL
Charleston / Non-Profit Corporation
316 CALHOUN ST CHARLESTON, SC
316 CALHOUN ST CHARLESTON, SC
29401-1125
FAC.#:843-724-2000
General: NICU:
316 0
368
29401-1125
ROPER HOSPITAL INC
PORTER STEPHEN PH#: 843-724-2000 Facility Email:
[email protected] Licensed Beds: Other Beds :
16
HTL-0063 / 10/31/2018
Psychiatric: 0 Rehab: Neonatal Special Care: 0
52
Substance Abuse:
0
Certifications:JCAHO Accredited
28
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Hospital or Institutional General Infirmary
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
SHERIFF AL CANNON DETENTION CENTER
Charleston / County
3841 LEEDS AVE N CHARLESTON, SC
3841 LEEDS AVE NORTH CHARLESTON, SC
29405-7469
FAC.#:843-529-7300
General: NICU:
22 0
22 29405
CHARLESTON COUNTY SHERIFF'S OFFICE
BEATTY WILLIS L PH#: Facility Email:
[email protected] Licensed Beds: Other Beds :
HTL-0908 / 06/30/2018
Psychiatric: 0 Rehab: Neonatal Special Care: 0
0
Substance Abuse:
Certifications:None TRIDENT MEDICAL CENTER
Charleston / Ltd. Liability
9330 MEDICAL PLAZA DR N CHARLESTON, SC 29406-9104
9330 MEDICAL PLAZA DR N CHARLESTON, SC 29406-9104
FAC.#:843-847-4100
General: NICU:
313
HTL-0777 / 04/30/2019
Psychiatric: Rehab: 17 Neonatal Special Care: 10
296 0
0
TRIDENT MEDICAL CENTER LLC
GALLATI TODD PH#: 843-847-4100 Facility Email:
[email protected] Licensed Beds: Other Beds :
Licensed Units
0
Substance Abuse:
0
Certifications:Abortions, Trauma Center Level II, Perinatal Level II, JCAHO Accredited VIBRA HOSPITAL OF CHARLESTON Charleston / Limited Liability 1200 HOSPITAL DR MOUNT PLEASANT, SC
29464-3251
1200 HOSPITAL DR MOUNT PLEASANT, SC
FAC.#:843-375-4000
General: NICU:
59 0
29464-3251
VIBRA HOSPITALOF CHARLESTON LLC
DUNMEYER DANIEL C PH#: 843-375-4000 Facility Email:
[email protected] Licensed Beds: Other Beds :
59
HTL-0764 / 08/31/2018
Psychiatric: Rehab: 0 Neonatal Special Care: 0
0
Substance Abuse:
0
Certifications:JCAHO Accredited Totals For Facility/License Type: Hospital or Institutional General Infirmary Number of Activities/Facilities licensed:
11
29
Number Licensed Units:
2,089
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Inhome Care Provider
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
A BETTER CHOICE HOME CARE 1514 MATHIS FERRY RD STE204 MT PLEASANT, SC 29464 FAC.#:843-884-6456
Charleston / Ltd. Liability 1514 MATHIS FERRY RD STE204 MT PLEASANT, SC 29464
ROSSINO MATTHEW L PH#: 843-6456 Facility Email:
[email protected]
A BETTER CHOICE HOME CARE LLC
A GREAT CHOICE FOR IN-HOME CARE 1240 WINNOWING WAY SITE 102 MOUNT PLEASANT, SC 29466 FAC.#:910-689-7658
Charleston / Corporation 1240 WINNOWING WAY STE 102 MOUNT PLEASANT, SC 29466
-
1
-
1
-
1
-
1
IHCP-0061 / 02/28/2019
A GREAT CHOICE FOR HOME CARE INC
PH#: Facility Email:
Licensed Units
[email protected]
IHCP-0336 / 08/31/2018
Charleston / Corporation ACCESS HEALTH CARE SERVICES OF CHARLESTON 2171 ASHLEY PHOSPHATE RD STE C NORTH CHARLESTON, SC 29406-4156 FAC.#:843-724-9581 SWYGERT MARILYN PH#: 803-509-8206 Facility Email:
[email protected]
ACCESS HEALTH CARE SERVICES INC
ADDUS HOME CARE - N CHARLESTON 3294-C ASHLEY PHOSPHATE RD N CHARLESTON, SC 29418 FAC.#:843-569-0033
Charleston / Corporation 2300 WARRENVILLE RD STE 100 DOWNERS GROVE, IL 60515-1700
PH#: Facility Email:
ADDUS HEALTHCARE (SOUTH CAROLINA) INC DBA ADDUS HOME CARE
IHCP-0603 / 08/31/2018
[email protected]
IHCP-0196 / 06/30/2018 ALREADY HOMECARE - CHARLESTON 1180 SAM RITTENBERG BLVD STE 240 CHARLESTON, SC 29407-3388 FAC.#:843-371-1419
Charleston / Limited Liability
CAMAREN MICHELLE PH#: 843-371-1419
ALREADY HOMECARE LLC
Facility Email:
[email protected]
Charleston / Limited Liability 1156 BOWMAN RD STE 200 MOUNT PLEASANT, SC 29464
-
1
-
1
-
1
E&L COLONIAL LLC
PH#:
[email protected]
ANGELS OF GRACE 1625 REMOUNT RD STE B NORTH CHARLESTON, SC 29406
IHCP-0695 / 03/31/2019 Charleston / Limited Liability 1625 REMOUNT RD STE B NORTH CHARLESTON, SC 29406
FAC.#:843-554-9413
TYLER-SIMMONS CONSTANCE PH#: 843-554-9413 Facility Email: Not on File
ANGELS OF GRACE LLC
ANGELS SITTER SERVICE LLC 1041 WOODSIDE DR CHARLESTON, SC 29412-9359
Charleston / Limited Liability 1041 WOODSIDE DR CHARLESTON, SC 29412-9359
PH#: Facility Email:
1
IHCP-0027 / 10/31/2018
AMADA SENIOR CARE SC COASTAL 1156 BOWMAN RD STE 200 MOUNT PLEASANT, SC 29464 FAC.#:843-800-0123 Facility Email:
-
IHCP-0701 / 09/30/2018
FAC.#:843-860-0274
ANGELS SITTER SERVICE LLC
[email protected]
IHCP-0493 / 12/31/2018 30
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Inhome Care Provider
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
ASSURANCE PERSONAL CARE 1818 NORWOOD ST NORTH CHARLESTON, SC 29405-8006 PH#: Facility Email:
Licensed Units
Charleston / Limited Liability PO BOX 31774 FAC.#:843-747-5798 CHARLESTON, SC 29417-1774
1
-
1
-
1
ASSURANCE PERSONAL CARE
IHCP-0358 / 12/31/2018
[email protected]
BAYADA HOME CARE - MOUNT PLEASANT 505 BELLE HALL PKWY STE 201 MOUNT PLEASANT, SC 29464-8326 FAC.#:843-856-3100
Charleston / Corporation 505 BELLE HALL PKWY STE 201 MOUNT PLEASANT, SC 29464-8326
LUGO NICOLE PH#: 843-856-3100
BAYADA HOME HEALTH CARE INC
Facility Email:
-
IHCP-0261 / 09/30/2018
[email protected]
BG CONNECTIONS 1 BISHOP GADSDEN WAY CHARLESTON, SC 29412-3577
Charleston / Corporation 1 BISHOP GADSDEN WAY CHARLESTON, SC 29412-3577
FAC.#:843-762-3300
TIPTON SARAH E H PH#: 843-762-3300 Facility Email:
[email protected]
BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY
BRIGHTSTAR OF CHARLESTON 1064 GARDNER RD STE 301 CHARLESTON, SC 29407-5746
Charleston / Limited Liability 1064 GARDNER RD STE 301 CHARLESTON, SC 29407-5746
IHCP-0250 / 07/31/2018
FAC.#:843-300-3008
-
JAMES CHARLES A PH#: 843-300-3008 Facility Email:
[email protected]
TOWNS HOLDINGS DBA BRIGHTSTAR OF CHARLESTON
CARE FOR LIFE INC 1064 GARDNER RD STE 316 CHARLESTON, SC 29407 FAC.#:843-852-9090
Charleston / Corporation 1064 GARDNER RD STE 316 CHARLESTON, SC 29407
JANSE SHEENA M PH#: 843-852-9090
CARE FOR LIFE INC
Facility Email:
IHCP-0075 / 03/31/2019
Charleston / Corporation
DUKE CHRISTOPHER PH#: 850-345-5300 Facility Email:
[email protected]
DUKE MILESTONE INVESTMENTS INC
CAROLINA HEALTH FORCE 3527 MARY ADER AVE CHARLESTON, SC 29414
Charleston / Corporation 3527 MARY ADER AVE CHARLESTON, SC 29414
1
-
1
IHCP-0655 / 02/28/2018 (Renewal Pending)
FAC.#:843-556-2784
-
1
-
1
MUMFORD INC
IHCP-0470 / 05/31/2018
[email protected]
CAROLINA PERSONAL TOUCH 6296 RIVERS AVE STE 303 NORTH CHARLESTON, SC 29406
Charleston / Partnership 6296 RIVERS AVE STE 203 NORTH CHARLESTON, SC 29406
FAC.#:843-203-3473
CAROLINA PERSONAL TOUCH LLC
PH#: Facility Email:
-
IHCP-0039 / 12/31/2018
[email protected]
CARING SENIOR SERVICE OF CHARLESTON SC 3294 ASHLEY PHOSPHATE RD STE 1B NORTH CHARLESTON, SC 29418 FAC.#:850-345-5300
PH#: Facility Email:
1
IHCP-0748 / 08/31/2018
[email protected]
31
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Inhome Care Provider
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
CHOICE HOME CARE 1101 LANDFALL WAY #5 SEABROOK ISLAND, SC 29455
Charleston / Limited Liability 119 ROCK QUARRY RD STOCKBRIDGE, GA 30281
PH#: Facility Email:
FAC.#:404-402-7833
Charleston / Limited Liability 1054 JOHNNIE DODDS BLVD STE A MOUNT PLEASANT, SC 29464-3153
-
1
-
1
-
1
-
1
-
1
-
1
-
1
CMK HOME CARE OF CHARLESTON LLC
IHCP-0266 / 07/31/2018
[email protected]
COMFORCARE HOME CARE-CHARLESTON 3 DANIEL ST CHARLESTON, SC 29407-7303 FAC.#:843-225-2067
Charleston / Limited Liability 3489 OLD POND RD JOHNS ISLAND, SC 29455-3209
PH#: Facility Email:
TUPELO POND LLC
IHCP-0282 / 07/31/2018
[email protected]
COMFORT KEEPERS OF GREATER CHARLESTON 3108 WOSLEY CT MOUNT PLEASANT, SC 29466-9066 FAC.#:843-574-7474
Charleston / Corporation 3108 WOSLEY CT MOUNT PLEASANT, SC 29466-9066
PH#: Facility Email:
FAMILY CARE INC
IHCP-0381 / 09/30/2018
[email protected]
COMMONWISE HOME CARE CHARLESTON 4 KENILWORTH AVE CHARLESTON, SC 29403 FAC.#:843-779-9593
Charleston / Limited Liability
EVANS KATHERINE F PH#: 804-814-1588
COMMONWEALTH CARE GROUP LLC
IHCP-0757 / 10/31/2018
[email protected]
CORPORATE CARE LLC CHARLESTON 3620 ASHLEY PHOSPHATE RD STE 18 NORTH CHARLESTON, SC 29418 FAC.#:843-793-4253
Charleston / Limited Liability PO BOX 16148 GREENVILLE, SC 29606-7148
PH#: Facility Email:
CORPORATE CARE LLC
IHCP-0275 / 08/31/2018
[email protected]
FIRSTLIGHT HOME CARE OF CHARLESTON 222 W COLEMAN BLVD STE 104 MOUNT PLEASANT, SC 29464 FAC.#:843-212-2813
Charleston / Corporation
RECUPERO JAMIE L PH#: 843-651-2273 Facility Email:
[email protected]
SOLOMON INTERNATIONAL
GRACEFUL LIVING HOMECARE 3236 LANDMARK DR STE 124 NORTH CHARLESTON, SC 29418
Charleston / Ltd. Liability 3236 LNDMARK DR STE 124 NORTH CHARLESTON, SC 29418
IHCP-0845 / 03/31/2019
FAC.#:843-576-5392
GRACEFUL LIVING HOMECARE LLC
PH#: Facility Email:
1
IHCP-0539 / 05/31/2018
[email protected]
PH#:
Facility Email:
-
SOUTHERN CRESCENT CARE LLC
CMK HOME CARE OF CHARLESTON LLC 1054 JOHNNIE DODDS BLVD STE A MOUNT PLEASANT, SC 29464-3153 FAC.#:843-849-5454 Facility Email:
Licensed Units
IHCP-0044 / 01/31/2018 (Renewal Pending)
[email protected]
32
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Inhome Care Provider
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
HEALING HANDS COMPANIONS 6650 RIVERS AVE NORTH CHARLESTON, SC 29406
Charleston / Limited Liability 6650 RIVERS AVE NORTH CHARLESTON, SC 29406
PH#: Facility Email:
FAC.#:843-576-1446
Charleston / Limited Liability
-
1
-
1
-
1
-
1
-
1
-
1
-
1
HOME CARE AND WELLNESS SOLUTIONS LLC
IHCP-0826 / 03/31/2019
[email protected]
HOME CARE ASSISTANCE OF THE LOW COUNTRY 1662 SAVANNAH HWY STE 225 CHARLESTON, SC 29407 FAC.#:843-216-9915
Charleston / Limited Liability 1255 OAKMEAD PKWY SUNNYVALE, CA 94085
PH#: Facility Email:
HOME CARE ASSISTANCE CHARLESTON LLC
IHCP-0737 / 05/31/2018
[email protected]
HOME CARE PLUS LLC 2040 EWALL ST STE D MOUNT PLEASANT, SC 29464
Charleston / Limited Liability 2040 EWALL ST STE D MOUNT PLEASANT, SC 29464
FAC.#:843-628-3642
GAIDUSEK LINDA PH#: 843-628-3642 Facility Email:
[email protected]
HOME CARE PLUS LLC
HOME INSTEAD SENIOR CARE OF CHARLESTON 11 GAMECOCK AVE STE 1105 CHARLESTON, SC 29407 FAC.#:843-571-3000
Charleston / Ltd. Liability 29 GAMECOCK AVE STE 101 CHARLESTON, SC 29407
TAYLOR KENZIE PH#: 843-571-3000
COMPANION MANAGEMENT LLC
IHCP-0337 / 08/31/2018
IHCP-0033 / 11/30/2018
[email protected]
INTERIM HEALTHCARE-CHARLESTON 4995 LACROSS RD STE 1300 NORTH CHARLESTON, SC 29406 FAC.#:843-569-5510
Charleston / Limited Liability 3870 LEEDS AVE STE 104 NORTH CHARLESTON, SC 29405-7493
PH#: Facility Email:
LOWCOUNTRY NURSING GROUP LLC
IHCP-0082 / 03/31/2019
[email protected]
LOVING CARE GIVERS SERVICE INC 1072 KING ST STE D CHARLESTON, SC 29403 FAC.#:843-830-7358
Charleston / Corporation 1072 KING ST STE D CHARLESTON, SC 29403
PH#: Facility Email:
LOVING CARE GIVERS SERVICE INC
IHCP-0580 / 01/31/2019
[email protected]
LOW COUNTRY BE WELL HOME SERVICES 1885 RIFLE RANGE RD MOUNT PLEASANT, SC 29464-9440 FAC.#:843-371-2449
Charleston / Corporation 1885 RIFLE RANGE RD MOUNT PLEASANT, SC 29464-9440
JONES THOMAS PH#: 843-377-4663
LUTHERAN HOMES OF SOUTH CAROLINA INC
Facility Email:
1
IHCP-0704 / 05/31/2018
[email protected]
PH#:
Facility Email:
-
HEALING HANDS COMPANIONS LLC
HOME CARE AND WELLNESS SOLUTIONS 6650 RIVERS AVE NORTH CHARLESTON, SC 29406 FAC.#:843-460-4540 Facility Email:
Licensed Units
IHCP-0045 / 01/31/2019
[email protected]
33
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Inhome Care Provider
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
LOWCOUNTRY COMPANIONS LLC 1459 STUART ENGALS BLVD UNIT 203 MOUNT PLEASANT, SC 29464-3600 FAC.#:843-856-2582
Charleston / Limited Liability 1459 STUART ENGALS BLVD UNIT 203 MOUNT PLEASANT, SC 29464-3600
PH#: Facility Email:
LOWCOUNTRY COMPANIONS LLC
Charleston / Limited Liability 4138 MEETING STREET RD NORTH CHARLESTON, SC 29405
Charleston / Limited Liability
PH#: Facility Email:
LUVLY ANGELS LLC
29401-1539
Charleston / Limited Liability 1 WALL ST CHARLESTON, SC 29401-1539
FAC.#:760-419-0534
MAXIM HEALTHCARE SERVICES INC
-
1
-
1
-
1
-
1
-
1
IHCP-0409 / 09/30/2018
[email protected]
MURCO ELDERCARE LLC 1590 W ROBINHOOD DR CHARLESTON, SC 29407-5827
Charleston / Limited Liability PO BOX 32372 CHARLESTON, SC 29417-2372
FAC.#:843-814-0321
MURCO ELDERCARE LLC
IHCP-0344 / 09/30/2018
[email protected]
PALMETTO FAMILY HOMECARE LLC 4000 FABER PL DR STE 300 NORTH CHARLESTON, SC 29405-8587
Charleston / Limited Liability 4000 FABER PL DR STE 300 FAC.#:843-323-4270 NORTH CHARLESTON, SC 29405-8587 PALMETTO FAMILY HOMECARE LLC
IHCP-0060 / 02/28/2019
[email protected]
Charleston / Corporation 1420 ASHLEY RIVER RD CHARLESTON, SC 29407
RESCARE HOMECARE CHARLESTON 1420 ASHLEY RIVER RD CHARLESTON, SC 29407 FAC.#:843-556-1191
SOUTHERN HOME CARE SERVICES INC DBA RESCARE HOMECARE
PH#: Facility Email:
1
IHCP-0296 / 02/28/2018 (Renewal Pending)
BARRY BENNETT PH#: 706-619-2058
PH#: Facility Email:
-
MANDALA HEALTH LLC
[email protected]
Charleston / Corporation 7227 LEE DEFOREST DR COLUMBIA, MD 21046-3236
PH#: Facility Email:
1
IHCP-0718 / 04/30/2018
[email protected]
MAXIM HEALTHCARE SERVICES - CHARLESTON 4055 FABER PL DR STE 302 CHARLESTON, SC 29405 FAC.#:706-619-2058 Facility Email:
-
IHCP-0735 / 10/31/2018
[email protected]
LUVLY ANGELS 1527 SAM RITTENBERG BLVD UNIT 202 B CHARLESTON, SC 29407 FAC.#:843-940-5154
PH#: Facility Email:
1
LOWCOUNTRY FAMILY SUPPORT SERVICES LLC
PH#:
MANDALA HEALTH 1 WALL ST CHARLESTON, SC
-
IHCP-0184 / 06/30/2018
[email protected]
LOWCOUNTRY FAMILY SUPPORT SERVICES HOMECARE 4138 MEETING STREET RD NORTH CHARLESTON, SC 29405 FAC.#:843-934-2197 Facility Email:
Licensed Units
[email protected]
IHCP-0013 / 05/31/2018 34
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Inhome Care Provider
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
RIGHT AT HOME - CHARLESTON 658 RUTLEDGE AVE STE B CHARLESTON, SC 29403-4147
Charleston / Limited Liability 658 RUTLEDGE AVE STE B CHARLESTON, SC 29403-4147
PH#: Facility Email:
FAC.#:843-580-5120
-
1
-
1
-
1
CHARLESTON HOME HEALTH CARE LLC
IHCP-0106 / 04/30/2018
[email protected]
Charleston / Limited Liability 3605 MEETING STREET RD FAC.#:843-552-8165 NORTH CHARLESTON, SC 29418
ROBERTS IN-HOME CARE 3605 MEETING STREET RD STE B1 NORTH CHARLESTON, SC 29405-8095
ROBERTS IN-HOME NURSING SERVICES LLC
PH#: Facility Email:
Licensed Units
IHCP-0240 / 07/31/2018
[email protected]
SEA ISLAND COMPREHENSIVE HEALTHCARE 3627 MAYBANK HWY JOHNS ISLAND, SC 29455 FAC.#:843-559-4137
Charleston / Corporation 3627 MAYBANK HWY JOHNS ISLAND, SC 29455
RUCKER TUMIKO PH#: 843-559-4137 Facility Email:
[email protected]
SEA ISLAND COMPREHENSIVE HEALTHCARE CORPORATION
SENIOR HELPERS - CHARLESTON 359 WANDO PL DR STE B MOUNT PLEASANT, SC 29451 FAC.#:843-628-3486
Charleston / Limited Liability 11 BEACHWOOD W ISLE OF PALMS, SC 29451
PH#: Facility Email:
LOW COUNTRY ELDER CARE LLC
IHCP-0638 / 11/30/2018
Charleston / Sole Proprietorship 185 CYPRESS FOREST DR MONCKS CORNER, SC 29461-8442
-
1
-
1
-
1
-
1
PAULETTE C JENKINS
PH#:
IHCP-0301 / 08/31/2018
[email protected]
UTOPIA HOME CARE INC 4 CARRIAGE LN STE 205 CHARLESTON, SC 29407
Charleston / Corporation 4 CARRIAGE LN STE 205 CHARLESTON, SC 29407
FAC.#:843-553-6060
MARTINEZ DAVID PH#: 843-553-6060 Facility Email:
[email protected]
UTOPIA HOME CARE INC
VISITING ANGELS 1041 JOHNNIE DODDS BLVD STE 4C MOUNT PLEASANT, SC 29464-6156
Charleston / Limited Liability 1041 JOHNNIE DODDS BLVD STE 4C MOUNT PLEASANT, SC 29464-6156
IHCP-0460 / 01/31/2019
FAC.#:843-884-2828
BAGADONAS DENISE PH#: 843-884-2828 Facility Email:
[email protected]
GENUINE HOME CARE LLC
WE CARE HOME CARE LLC 7301 RIVERS AVE #190 NORTH CHARLESTON, SC 29406
Charleston / Limited Liability 7301 RIVERS AVE #190 NORTH CHARLESTON, SC 29406
IHCP-0629 / 07/31/2018
FAC.#:843-789-3003
WE CARE HOME CARE LLC
PH#: Facility Email:
1
IHCP-0784 / 11/30/2018
[email protected]
TENDER LOVING CARE HOMECARE SERVICES LLC 3262 LANDMARK DR STE 127 NORTH CHARLESTON, SC 29420 FAC.#:843-552-0035 Facility Email:
-
IHCP-0333 / 02/28/2018 (Renewal Pending)
[email protected]
35
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Inhome Care Provider
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
Licensed Units
Totals For Facility/License Type: Inhome Care Provider Number of Activities/Facilities licensed:
48
36
Number Licensed Units:
-
48
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Nursing Home
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
BISHOP GADSDEN EPISCOPAL HEALTH CARE CENTER
Charleston / Non-Profit Corporation
3 BISHOP GADSDEN WAY CHARLESTON, SC 29412-3500
Licensed Beds: Nursing Home:
BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY
41
NCF-0577 / 04/30/2018
Institutional Nursing Home:
Max # Resident:0
MOUNT PLEASANT, SC
44
SMELSER THERESA PH#: 843-763-0233 Facility Email:
[email protected]
Alzheimer Care:No
125
WEST ASHLEY REHABILITATION AND NURSING CENTER CHARLESTON SC LLC
0
Alzheimer Unit: No
Max # Beds: 0
Charleston / Limited Liability 3647 MAYBANK HWY
JOHNS ISLAND, SC 29455-4825 FAC.#:843-559-5888 ANDERSON LINDSAY PH#: 843-559-5888
JOHNS ISLAND, SC
29455-4825
JOHNS ISLAND REHABILITATION AND HEALTHCARE CENTER LLC
[email protected]
NCF-0911 / 11/30/2018 Licensed Beds: Nursing Home: Alzheimer Care:No
132
Institutional Nursing Home:
Max # Resident:0
125
333 N SUMMIT ST, LEGAL DEPARTMENT TOLEDO, OH 43604-1531
NCF-0413 / 12/31/2018
Certifications:None JOHNS ISLAND REHABILITATION AND HEALTHCARE CENTER 3647 MAYBANK HWY
Facility Email:
Max # Beds: 0
Charleston / Limited Liability
Institutional Nursing Home:
Max # Resident:0
0
Alzheimer Unit: No
Certifications:None HEARTLAND OF WEST ASHLEY REHABILITATION AND NURSING CENTER 1137 SAM RITTENBERG BLVD CHARLESTON, SC 29407-3370 FAC.#:843-763-0233
Licensed Beds: Nursing Home:
29464-9440
NCF-0800 / 07/31/2018
Institutional Nursing Home:
Max # Resident:0
44
LUTHERAN HOMES OF SOUTH CAROLINA INC (NPC)
[email protected]
Alzheimer Care:No
Max # Beds: 0
Charleston / Non-Profit Corporation 1885 RIFLE RANGE RD
MOUNT PLEASANT, SC 29464-9440 FAC.#:843-856-4700 STOLL SANDRA A PH#: 843-856-4700
Licensed Beds: Nursing Home:
9
Alzheimer Unit: No
Certifications:None FRANKE HEALTH CARE CENTER 1885 RIFLE RANGE RD
Facility Email:
50
FAC.#:843-762-3300
TRAWICK C WILLIAM PH#: 843-762-3300 Facility Email:
[email protected]
Alzheimer Care:No
Licensed Units
Alzheimer Unit: No
0 Max # Beds: 0
Certifications:None
37
hlfactcc.rdf
132
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Nursing Home
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
Licensed Units
LIFE CARE CENTER OF CHARLESTON
Charleston / Ltd. Liability
148
2600 ELMS PLANTATION BLVD NORTH CHARLESTON, SC 29406-9180
2600 ELMS PLANTATION BLVD FAC.#:843-764-3500 NORTH CHARLESTON, SC 29406-9180 CHARLESTON MEDICAL INVESTORS LLC
CLIETT BETH A PH#: 843-764-3500 Facility Email:
[email protected] Licensed Beds: Nursing Home: Alzheimer Care:No
148
NCF-0878 / 11/30/2018 Institutional Nursing Home:
Max # Resident:0
Alzheimer Unit: No
Certifications:None MOUNT PLEASANT MANOR 921 BOWMAN RD
MOUNT PLEASANT, SC
Licensed Beds: Nursing Home:
132
29464-3234
NCF-0896 / 05/31/2018
Institutional Nursing Home:
Max # Resident:0
132
MOUNT PLEASANT MANOR LLC
[email protected]
Alzheimer Care:No
Max # Beds: 0
Charleston / Ltd. Liability 921 BOWMAN RD
MOUNT PLEASANT, SC 29464-3234 FAC.#:843-884-8903 WHITE BRUCE L PH#: 843-884-8903 Facility Email:
0
0
Alzheimer Unit: No
Max # Beds: 0
Certifications:None NHC HEALTHCARE CHARLESTON
Charleston / Limited Liability
2230 ASHLEY CROSSING DR CHARLESTON, SC 29414-5700
2230 ASHLEY CROSSING DR CHARLESTON, SC 29414-5700
FAC.#:843-766-5228
NHC HEALTHCARE-CHARLESTON LLC
BARTLETT GREGORY PH#: 843-766-5228 Facility Email:
[email protected] Licensed Beds: Nursing Home: Alzheimer Care:No
132
NCF-0871 / 09/30/2018
Institutional Nursing Home:
Max # Resident:0
CHARLOTTE, NC
Alzheimer Care:No
NCF-0965 / 03/31/2019
Institutional Nursing Home:
Max # Resident:0
28277-3431
WELLMORE OF DANIEL ISLAND LLC
[email protected]
60
Max # Beds: 0
Charleston / Limited Liability 3530 TORINGDON WAY STE 204
CHARLESTON, SC 29492 FAC.#:843-566-1000 SEEDS ASHLEY PH#: 843-566-1000
Licensed Beds: Nursing Home:
0
Alzheimer Unit: No
Certifications:None RETREAT AT WELLMORE OF DANIEL ISLAND 580 ROBERT DANIEL DR
Facility Email:
132
Alzheimer Unit: No
0 Max # Beds: 0
Certifications:None
38
hlfactcc.rdf
60
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Nursing Home
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
Licensed Units
RIVERSIDE HEALTH AND REHAB
Charleston / Ltd. Liability
160
2375 BAKER HOSPITAL BLVD NORTH CHARLESTON, SC 29405-8291
2375 BAKER HOSPITAL BLVD FAC.#:843-744-2750 NORTH CHARLESTON, SC 29405-8291 THI OF SOUTH CAROLINA AT CHARLESTON LLC
MONTGOMERY-SMALL JERROLYN PH#: 843-744-2750 Facility Email:
[email protected] Licensed Beds: Nursing Home: Alzheimer Care:No
160
NCF-0870 / 08/31/2018
Institutional Nursing Home:
Max # Resident:0
Alzheimer Unit: No
Certifications:None SANDPIPER REHAB & NURSING 1049 ANNA KNAPP BLVD FAC.#:843-881-3210
MOUNT PLEASANT, SC
Alzheimer Care:No
29464-3133
176
NCF-0876 / 10/31/2018
Institutional Nursing Home:
Max # Resident:0
0
Alzheimer Unit: No
Max # Beds: 0
Certifications:None SAVANNAH GRACE AT THE PALMS OF MT PLEASANT
Charleston /
1010 LAKE HUNTER CIR MOUNT PLEASANT, SC 29464-5417
400 CENTRE ST NEWTON, MA 02458-2094
FAC.#:843-388-2030
48
Licensed Beds: Nursing Home:
NCF-0926 / 06/30/2018 Institutional Nursing Home:
Max # Resident:0
Facility Email:
Alzheimer Care:No
Max # Beds: 0
Charleston / Limited Liability 1200 HOSPITAL DR FAC.#:843-375-4220
MOUNT PLEASANT, SC
29464-3251
VIBRA HOSPITALOF CHARLESTON LLC
[email protected]
Licensed Beds: Nursing Home:
0
Alzheimer Unit: No
Certifications:None VIBRA HOSPITAL OF CHARLESTON-TCU 1200 HOSPITAL DR MOUNT PLEASANT, SC 29464-3251 CARR JOSEPH PH#: 843-375-4000
48
SNH SE SG TENANT LLC
BURNS RICHARD M PH#: 843-388-2030 Facility Email:
[email protected]
Alzheimer Care:No
176
SANDPIPER REHAB & NURSING-DELAWARE LLC
[email protected]
Licensed Beds: Nursing Home:
Max # Beds: 0
Charleston / Limited Liability 1049 ANNA KNAPP BLVD
MOUNT PLEASANT, SC 29464-3133 WALROND JAMES J PH#: Facility Email:
0
35
NCF-0960 / 08/31/2018 Institutional Nursing Home:
Max # Resident:0
Alzheimer Unit: No
0 Max # Beds: 0
Certifications:None
39
hlfactcc.rdf
35
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Nursing Home
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
WHITE OAK MANOR CHARLESTON INC
Charleston / Corporation
9285 MEDICAL PLAZA DR N CHARLESTON, SC 29406-9126
9285 MEDICAL PLAZA DR N CHARLESTON, SC 29406-9126
FAC.#:843-797-8282
Alzheimer Care:No
176
NCF-0892 / 12/31/2018
Institutional Nursing Home:
Max # Resident:0
176
WHITE OAK MANOR CHARLESTON INC
GIBBS TAMMY L PH#: 843-797-8282 Facility Email:
[email protected] Licensed Beds: Nursing Home:
Licensed Units
Alzheimer Unit: No
0 Max # Beds: 0
Certifications:None Totals For Facility/License Type: Nursing Home Number of Activities/Facilities licensed:
13
40
Number Licensed Units:
1,418
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
PSAD Inpatient
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
CHARLESTON CENTER NEW LIFE UNIT
Charleston / County
5 CHARLESTON CENTER DR CHARLESTON, SC 29401-1162
5 CHARLESTON CENTER DR CHARLESTON, SC 29401-1162
FAC.#:843-958-3480
ITP-0020 / 05/31/2018
0 Social Detox:
0
Res. Trestment Program:
CHARLESTON CENTER SUBACUTE DETOXIFICATION PROGRAM
Charleston / County
5 CHARLESTON CENTER DR CHARLESTON, SC 29401-1162
5 CHARLESTON CENTER DR CHARLESTON, SC 29401-1162
FAC.#:843-958-3480
16
ITP-0018 / 05/31/2018
16 Social Detox:
0
Res. Trestment Program:
CHARLESTON CENTER TRANSITIONAL CARE UNIT
Charleston / County
5 CHARLESTON CENTER DR CHARLESTON, SC 29401-1162
5 CHARLESTON CENTER DR CHARLESTON, SC 29401-1162
FAC.#:843-958-3480
0 12
CHARLESTON COUNTY COUNCIL
OLIVER RICHARD H PH#: 843-958-3300 Facility Email:
[email protected] Licensed Beds: Medical Detox:
16
CHARLESTON COUNTY COUNCIL
OLIVER RICHARD H PH#: 843-958-3300 Facility Email:
[email protected] Licensed Beds: Medical Detox:
16
CHARLESTON COUNTY COUNCIL
OLIVER RICHARD H PH#: 843-958-3300 Facility Email:
[email protected] Licensed Beds: Medical Detox:
Licensed Units
ITP-0019 / 05/31/2018
0 Social Detox:
0
Res. Trestment Program:
12
Totals For Facility/License Type: PSAD Inpatient Number of Activities/Facilities licensed:
3
41
Number Licensed Units:
44
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
PSAD Outpatient
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
ALTERNATIVES LIFE IMPROVEMENT CENTER
Charleston / Corporation
2114 COSGROVE AVE NORTH CHARLESTON, SC
29405-7755
2114 COSGROVE AVE FAC.#:843-767-4477 NORTH CHARLESTON, SC
29405-7755
OTP-0098 / 11/30/2018
Certifications:None CENTER FOR BEHAVIORAL HEALTH SOUTH CAROLINA
PH#: Facility Email:
1
ALTERNATIVES LIFE IMPROVEMENT CENTER INC
HARRINGTON HEATHER A PH#: 843-767-4477 Facility Email:
[email protected]
2301 COSGROVE AVE STE F NORTH CHARLESTON, SC 29405-7663
Licensed Units
Charleston / Corporation
1
PO BOX 897 FAC.#:843-529-0700 BOISE, ID 83701 CENTER FOR BEHAVIORAL HEALTH SOUTH CAROLINA INC
CHRISTINE.MART@CENTERFORBEHAVIORALHEA LTH
OTPN-0054 / 04/30/2018
Certifications:Narcotics Treatment Program, Methodone Treatment Program CENTER FOR BEHAVIORAL HEALTH SPECIAL SERVICES Charleston / Corporation 2301 COSGROVE AVE STE F NORTH CHARLESTON, SC 29405-7663
1
PO BOX 897 FAC.#:843-529-0700 BOISE, ID 83701 CENTER FOR BEHAVIORAL HEALTH SOUTH CAROLINA INC
MARTIN CHRISTINE PH#: 843-529-0700 Facility Email: BRANT.MASSMAN@CENTERFORBEHAVIORALHEAL
OTP-0069 / 02/28/2019
TH.
Certifications:None CHARLESTON CENTER 5 CHARLESTON CENTER DR CHARLESTON, SC 29401-1162
Charleston / County
1
5 CHARLESTON CENTER DR CHARLESTON, SC 29401-1162
FAC.#:843-958-3300
CHARLESTON COUNTY COUNCIL
OLIVER RICHARD H PH#: 843-958-3300 Facility Email:
[email protected]
OTPN-0047 / 02/28/2018 (Renewal Pending)
Certifications:Narcotics Treatment Program, Methodone Treatment Program CROSSROADS TREATMENT CENTERS OF CHARLESTON Charleston / Corporation 2470 MALL DR STE C & D NORTH CHARLESTON, SC 29406-6514
1
105 N SPRING ST STE 109 FAC.#:843-244-0967 GREENVILLE, SC 29601-2859 CROSSROADS TREATMENT CENTER OF CHARLESTON PC
DEAL KIM PH#: 843-244-0967 Facility Email:
[email protected]
OTPN-0134 / 10/31/2018
Certifications:Narcotics Treatment Program, Methodone Treatment Program NEW DIRECTION BEHAVIORAL HEALTH Charleston / Limited Liability 9241 UNIVERSITY BLVD STE B2 9225 UNIVERSITY BLVD STE E2C NORTH CHARLESTON, SC 29406-8101 KEY HELENE J PH#: 843-442-7484 Facility Email:
FAC.#:843-442-7484 NORTH CHARLESTON, SC
29406-9149
NEW DIRECTION BEHAVIORAL HEALTH LLC
[email protected]
OTP-0103 / 11/30/2018
Certifications:None
42
hlfactcc.rdf
1
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
PSAD Outpatient
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
Licensed Units
POSITIVE FEEDBACK PROFESSIONAL COUNSELING ASSOCIATES Charleston / Limited Liability 1497 REMOUNT RD NORTH CHARLESTON, SC
29406
1497 REMOUNT RD NORTH CHARLESTON, SC
FAC.#:843-744-1447
1
29406
POSITIVE FEEDBACK PROFESSIONAL COUNSELING ASSOCIATES LLC
CHALK STAUNTON G PH#: 843-744-1447 Facility Email:
[email protected]
OTP-0063 / 08/31/2018 Certifications:None TAKING A POSITIVE STEP 6650 RIVERS AVE STE 406 NORTH CHARLESTON, SC 29406-4828
Charleston /
1
6650 RIVERS AVE STE 406 FAC.#:843-576-1406 NORTH CHARLESTON, SC 29406-4828 TAKING A POSITVE STEP INC
ALLEN CAROLYN PH#: 843-487-5140 Facility Email:
[email protected]
OTP-0168 / 12/30/2017 (Renewal Pending)
Certifications:None Totals For Facility/License Type: PSAD Outpatient Number of Activities/Facilities licensed:
8
43
Number Licensed Units:
8
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Renal Dialysis
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
CHARLES TOWNE DIALYSIS
Charleston / Limited Liability
1964 ASHLEY RIVER RD STE D-3 CHARLESTON, SC 29407 FAC.#:843-852-3537
5200 VIRGINIA WAY, LICENSING AND CERTIFICATION BRENTWOOD, TN 37027-7569
TURBEVILLE LEIGH PH#: Facility Email:
[email protected]
POINTE DIALYSIS LLC
Licensed Stations:
Hemodialysis:
Licensed Units 20
ERD-0198 / 03/31/2019 20
Peritoneal:
0
CHARLES TOWNE HOME PROGRAM 1964 ASHLEY RIVER RD STE D-2
Charleston / Limited Liability 4 5200 VIRGINIA WAY, LICENSING AND CERTIFICATION
CHARLESTON, SC 29407-4782 FAC.#:843-573-8767 LOMBARDO DONNA M PH#: 843-573-8767
BRENTWOOD, TN
COAST DIALYSIS LLC
[email protected]
Facility Email:
Licensed Stations:
Hemodialysis:
37027-7569
ERD-0197 / 03/31/2019 0
Peritoneal:
DCI AZALEA PLACE
4
Charleston / Non-Profit Corporation
2270 TECHNICAL PKWY NORTH CHARLESTON, SC
29406-4930
1411 KING ST FAC.#:843-863-8974 CHARLESTON, SC
Hemodialysis:
ERD-0006 / 08/31/2018 20
Peritoneal:
DCI EAST OF THE COOPER
0
Charleston / Non-Profit Corporation
1088 JOHNNIE DODDS BLVD MOUNT PLEASANT, SC 29464-3142
1411 KING ST CHARLESTON, SC
FAC.#:843-881-8344
Hemodialysis:
29403-3008
ERD-0043 / 07/31/2018 16
Peritoneal:
1
DCI JAMES ISLAND 959 FOLLY RD
Charleston / Non-Profit Corporation 1411 KING ST
CHARLESTON, SC 29412-3919 FAC.#:843-795-8386 AUTREY JENNIFER PH#: 843-795-8386
CHARLESTON, SC
Facility Email:
Hemodialysis:
16
Peritoneal:
0
Charleston / Non-Profit Corporation
29403-3008
1411 KING ST CHARLESTON, SC
FAC.#:843-853-3399
Hemodialysis:
29403-3008
DIALYSIS CLINIC INC
FULLER KYRIN PH#: Facility Email:
[email protected] Licensed Stations:
29403-3008
ERD-0094 / 02/28/2019
DCI MAGNOLIA COURT 1427 KING ST CHARLESTON, SC
16
DIALYSIS CLINIC INC
[email protected]
Licensed Stations:
17
DIALYSIS CLINIC INC
LEGETTE MARY PH#: 843-881-8344 Facility Email:
[email protected] Licensed Stations:
29403-3008
DIALYSIS CLINIC INC
SMITH ROCHELLE PH#: Facility Email:
[email protected] Licensed Stations:
20
ERD-0074 / 11/30/2018 17
Peritoneal:
44
0
hlfactcc.rdf
17
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Renal Dialysis
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
DCI WEST OF THE ASHLEY
Charleston / Non-Profit Corporation
46 MARKFIELD DR STE B CHARLESTON, SC 29407-6982
1411 KING ST CHARLESTON, SC
FAC.#:843-766-2317
Hemodialysis:
FABER PLACE DIALYSIS 3801 FABER PL DR
Facility Email:
29403-3008
ERD-0008 / 08/31/2018 23
Peritoneal:
0
Charleston / Corporation 5200 VIRGINIA WAY STE 400, LICENSING AND FAC.#:843-377-1566 CERTIFICATION BRENTWOOD, TN 37027-7569
NORTH CHARLESTON, SC 29405-8533 WELLS LINDA PH#: 843-377-1566
23
DIALYSIS CLINIC INC
GRIFFIN APRIL PH#: 843-766-2317 Facility Email:
[email protected] Licensed Stations:
Licensed Units
16
TOTAL RENAL CARE INC
[email protected]
ERD-0166 / 09/30/2018 Licensed Stations:
Hemodialysis:
16
Peritoneal:
FMC NORTH CHARLESTON 2450 ELMS CENTER RD NORTH CHARLESTON, SC
2450 ELMS CENTER RD FAC.#:843-553-4742 NORTH CHARLESTON, SC
29406-9858
Hemodialysis:
29406-9858
ERD-0154 / 05/31/2018 21
Peritoneal:
2
FRESENIUS MEDICAL CARE CHARLESTON COUNTY
Charleston / Corporation
901 VON KOLNITZ RD STE 102 MOUNT PLEASANT, SC 29464-3772
901 VON KOLNITZ RD STE 102 MOUNT PLEASANT, SC 29464-3772
FAC.#:843-881-4842
Hemodialysis:
12
BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA INC
ZADROZINSKI MICHELLE PH#: 843-881-4842 Facility Email:
[email protected] Licensed Stations:
ERD-0193 / 11/30/2018 11
Peritoneal:
2
FRESENIUS MEDICAL CARE MOUNT PLEASANT 1028 EWALL ST
Charleston / Limited Liability 1028 EWALL ST
MOUNT PLEASANT, SC 29464-3046 FAC.#:843-884-3115 RICHARDS STEPHANIE L PH#: 843-884-3115
MOUNT PLEASANT, SC
Facility Email:
Hemodialysis:
29464-3046
ERD-0148 / 11/30/2018 16
Peritoneal:
0
FRESENIUS MEDICAL CARE WEST ASHLEY
Charleston / Limited Liability
2080 CHARLIE HALL BLVD CHARLESTON, SC 29414-5830
2080 CHARLIE HALL BLVD CHARLESTON, SC 29414-5830
FAC.#:843-766-4655
RAI CARE CENTERS OF SOUTH CAROLINA I LLC
FRYAR LINDA PH#: 843-766-4655 Facility Email:
[email protected] Licensed Stations:
Hemodialysis:
16
NRA-MT PLEASANT SOUTH CAROLINA LLC
[email protected]
Licensed Stations:
23
RAI CARE CENTERS OF SOUTH CAROLINA I LLC
ROSS DWANE PH#: 843-553-4742 Facility Email:
[email protected] Licensed Stations:
0
Charleston / Limited Liability
ERD-0155 / 11/30/2018 26
Peritoneal:
45
4
hlfactcc.rdf
29
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Renal Dialysis
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
HOLLYWOOD RAVENEL DIALYSIS CLINIC
Charleston / Limited Liability
5953 JACOBS POINT BLVD RAVENEL, SC 29470-5643
PO BOX 487 RAVENEL, SC
FAC.#:843-571-4025
Hemodialysis:
NORTH CHARLESTON DIALYSIS 5900 RIVERS AVE UNIT E NORTH CHARLESTON, SC 29406-6082 LEYDER VALERIE PH#: 843-747-3447 Facility Email:
16
16
29470
NRA-HOLLYWOOD SOUTH CAROLINA LLC
RICHARDS STEPHANIE L PH#: 843-766-4655 Facility Email:
[email protected] Licensed Stations:
Licensed Units
ERD-0157 / 03/31/2019 Peritoneal:
0
Charleston / Corporation 5200 VIRGINIA WAY STE 400, LICENSING AND FAC.#:843-747-3447 CERTIFICATION BRENTWOOD, TN 37027-7569
17
TOTAL RENAL CARE INC
[email protected]
ERD-0165 / 08/31/2018 Licensed Stations:
Hemodialysis:
17
Peritoneal:
2
NXSTAGE KIDNEY CARE CHARLESTON
Charleston /
2270 ASHLEY CROSSING DR STE 130A CHARLESTON, SC 29414-5702 FAC.#:843-213-3660
2270 ASHLEY CROSSING DR STE 130A CHARLESTON, SC 29414-5702
PAYTON JENNIFER PH#: 843-213-3660 Facility Email:
[email protected]
NKC CHARLESTON LLC
Licensed Stations:
Hemodialysis:
6
ERD-0231 / 05/31/2018 4
Peritoneal:
1
Totals For Facility/License Type: Renal Dialysis Number of Activities/Facilities licensed:
15
46
Number Licensed Units:
252
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Residential Treatment for Children & Adolescents
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
Licensed Units
RIVERSIDE BEHAVIORAL HEALTH SERVICES AT WINDWOOD FARM Charleston / Non-Profit Corporation 4857 WINDWOOD FARM RD AWENDAW, SC 29429-5951
12
4857 WINDWOOD FARM RD AWENDAW, SC 29429-5951
FAC.#:843-884-5342
WINDWOOD FARM HOME FOR CHILDREN INC
MCKELVEY DEBORAH D PH#: 843-884-5342 Facility Email:
[email protected]
RTF-0025 / 03/31/2018 (Renewal Pending)
Totals For Facility/License Type: Residential Treatment for Children & Adolescents Number of Activities/Facilities licensed:
1
47
Number Licensed Units:
12
hlfactcc.rdf
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Tattoo Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
BLU GORILLA TATTOO 1409 KING ST EXT CHARLESTON, SC 29403
Charleston / Corporation 1409 KING ST EXT CHARLESTON, SC 29403
FAC.#:843-805-8071
Licensed Units 4
DENNIS TIMOTHY A PH#: 843-789-2244 Facility Email:
[email protected]
BLU GORILLA TATTOO INC
BREAKTHROUGH TATTOO 3025 ASHLEY PHOSPHATE RD STE B-1 NORTH CHARLESTON, SC 29418 FAC.#:843-592-9939
Charleston / Sole Proprietorship 3025 ASHLEY PHOSPHATE RD STE B-1 NORTH CHARLESTON, SC 29418
BROWN TIMOTHY PH#: 843-592-9939
BROWN TIMOTHY
Facility Email:
TF-0033 / 01/31/2019
TF-0273 / 08/31/2018
[email protected]
BROKEN LANTERN TATTOO STUDIO 1931 BELGRADE AVE CHARLESTON, SC 29407 FAC.#:843-637-4999
Charleston / Limited Liability 1931 BELGRADE AVE CHARLESTON, SC 29407
COLLINS GLENN R PH#: 843-637-4999 Facility Email:
[email protected]
BROKEN LANTERN TATTOO STUDIO LLC
CHARLESTON TATTOO COMPANY INC 792 FOLLY RD STE E CHARLESTON, SC 29412-3477 FAC.#:843-641-7250
Charleston / Partnership PO BOX 32404 CHARLESTON, SC 29417-2404
CHESTON JONATHAN E PH#: 803-782-0753 Facility Email:
[email protected]
DEVINE STREET TATTOO INC
HOLY CITY TATTOOING COLLECTIVE 1916 SAVANNAH HWY CHARLESTON, SC 29407-6251 FAC.#:843-202-0950
Charleston / Limited Liability 1916 SAVANNAH HWY CHARLESTON, SC 29407-6251
EISENBERG JASON R PH#: 843-805-8000
HOLY MOUNTAIN LLC
Facility Email:
4
TF-0136 / 06/30/2018 5
TF-0046 / 08/31/2018 Charleston / Ltd. Liability 1921 SAVANNAH HWY CHARLESTON, SC 29407-6250
FAC.#:843-225-1304
MARCOTTE DAVID S PH#: 843-225-1304 Facility Email:
[email protected]
LUCKY 7'S TATTOO STUDIO LLC
PEPPER SHADE 1436 N MEETING ST CHARLESTON, SC 29403
Charleston / Corporation 1409 KING ST EXT CHARLESTON, SC 29403
6
TF-0102 / 05/31/2018
FAC.#:843-789-2244
4
DENNIS TIMOTHY A PH#: 843-789-2244 Facility Email:
[email protected]
BLU GORILLA TATTOO INC
THE GILDED MERMAID 4213-B SAVANNAH HWY RAVENEL, SC 29470 FAC.#:843-697-9995
Charleston / Sole Proprietorship PO BOX 624 RAVENEL, SC 29470
TF-0118 / 02/28/2019
OSBORN JULIE A
PH#: Facility Email:
5
TF-0263 / 02/28/2019
[email protected]
IRON LOTUS STUDIOS 1921 SAVANNAH HWY CHARLESTON, SC 29407-6250
4
TF-0278 / 09/30/2018
[email protected]
48
hlfactcc.rdf
4
April 3, 2018
South Carolina Department of Health & Environmental Control Division of Health Licensing
County: Charleston Facility Type:
Tattoo Facility
Facility Name Location Street Location City, State Administrator/Phone
County/Ownership Type Mailing/Billing Address Licensee License Nbr/Expiration Date
UPPER HAND TATTOO STUDIO
Charleston /
1869 SAM RITTENBERG BLVD CHARLESTON, SC 29407-4870 PH#: Facility Email:
Licensed Units 5
1869 SAM RITTENBERG BLVD CHARLESTON, SC 29407-4870
FAC.#:843-225-8602
UPPER HAND TATTOO STUDIO LLC
[email protected]
TF-0266 / 02/28/2019
Totals For Facility/License Type: Tattoo Facility Number of Activities/Facilities licensed:
9
Number Licensed Units:
Number of Activities/Facilities licensed in county of :
41
Charleston # Lics: Number Licensed Units : 6,187
210
Report Totals Total Number of Activities/Facilities licensed:
210
49
Total Number Licensed Units:
6,187
hlfactcc.rdf