Organization Active NPI

Sumter East Facility LLC

Doing business as Sumter East Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Sumter, SC
National Provider Identifier
1043930936
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SUMTER EAST FACILITY LLC
Doing business as
Sumter East Health and Rehabilitation Center
Practice address
880 Carolina Ave
Sumter, SC 29150-2815
Phone
(803) 775-5394
NPI assigned
Aug 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Bokor
Title
Authorized Official
Phone
(954) 239-4160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

880 Carolina Ave
Sumter, SC 29150-2815

Mailing address

2870 Stirling Rd Ste 201
Hollywood, FL 33020-1103

Other names 1

  • Sumter East Health and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230113000739 SC Part A Provider - Skilled Nursing Facility 7315318128 Practice locations: Sumter, SC

Skilled nursing facility certification: CCN 425107

Legal name
SUMTER EAST FACILITY LLC
Doing business as
SUMTER EAST HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 1, 1977
Last certification
Oct 11, 2024
Beds
176
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Aug 4, 2022 in SC
Enrollment address
880 Carolina Ave
Sumter, SC 29150-2815
Nursing home name
SUMTER EAST HEALTH & REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sumter East Health & Rehabilitation CenterCCN 425107 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
176167.3 residents per day on average
Penalties (3 years)
4Fines totaling $29,135

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0886879Sumter East Facility LLC Dba880 Carolina Ave, Sumter, SC 29150Certificate of waiverMay 30, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 61

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bhgsc Holdings LLC Organization, Hollywood, FL Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 8, 2022 99%
Organization, Madison, WI Adp of the SNF Mar 31, 2025
Organization, Saint Louis, MO Adp of the SNF Mar 27, 2025
Organization, Howell, NJ LLC Adp of the SNF Mar 27, 2025
Individual Adp of the SNF Dec 18, 2023
Individual Adp of the SNF Aug 25, 2023
Organization, Carol Stream, IL Adp of the SNF Mar 31, 2025
Bryan Hatton Individual Operational/Managerial Control Mar 4, 2024
Adp of the SNF Mar 4, 2024
Organization, Atlanta, GA Corporation Adp of the SNF Mar 27, 2025
Individual Adp of the SNF Jan 1, 2024
Organization, Jacksonville, FL LLC Adp of the SNF Mar 31, 2025
Organization, Miramar, FL Adp of the SNF Mar 27, 2025
Organization, Fairfax, VA Adp of the SNF Mar 27, 2025
Individual Adp of the SNF May 1, 2023
Individual Adp of the SNF Jul 5, 2023
Organization, Perry, GA Corporation Adp of the SNF Apr 9, 2025
Organization, New York, NY LLC Adp of the SNF Nov 8, 2022
Organization, Ocala, FL Corporation, Consulting firm Adp of the SNF Apr 22, 2025
Michael Allen Bokor Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2022
Corporate Officer Nov 1, 2022
Operational/Managerial Control Nov 8, 2022
Managing Control - Governing Body Nov 8, 2022
Adp of the SNF Nov 8, 2022
Indirect Ownership Interest Nov 8, 2022
Individual Adp of the SNF May 1, 2023
Individual Adp of the SNF Nov 8, 2022
Organization, Hollywood, FL Created for acquisition, Corporation, Owned by another organization or individual Indirect Ownership Interest Jun 1, 2025 1%
Organization, Wayne, NJ Financial institution Adp of the SNF Mar 28, 2025
Organization, Atlanta, GA Corporation Adp of the SNF Mar 27, 2025
Organization, Columbus, OH Financial institution Adp of the SNF Mar 27, 2025
Individual Adp of the SNF Jan 1, 2023
Individual Adp of the SNF Nov 8, 2022
Carestrong LLC Organization, Boca Raton, FL LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 8, 2022
Organization, Fort Lauderdale, FL Financial institution Adp of the SNF Mar 28, 2025
Organization, Clearwater, FL LLC Adp of the SNF Mar 27, 2025
Organization, Atlanta, GA Corporation Adp of the SNF Mar 27, 2025
Individual Adp of the SNF Nov 1, 2022
Peter K Maung Individual Operational/Managerial Control Jul 17, 2023
Adp of the SNF Jul 17, 2023
Individual Adp of the SNF Jun 3, 2024
Individual Adp of the SNF Feb 20, 2024
Organization, Columbia, SC LLC Adp of the SNF Mar 27, 2025
Organization, Franklin, TN Corporation Adp of the SNF Apr 9, 2025
Organization, Dallas, TX Corporation Adp of the SNF Mar 27, 2025
Organization, Atlanta, GA Adp of the SNF Mar 27, 2025
Individual Adp of the SNF Dec 3, 2024
Individual Adp of the SNF Nov 8, 2022
Organization, Hollywood, FL LLC, Management services company, Consulting firm Adp of the SNF Mar 27, 2025
Organization, Lewiston, ME Financial institution Adp of the SNF Mar 28, 2025
Organization, Lincolnwood, IL Adp of the SNF Mar 27, 2025
Individual Adp of the SNF Nov 8, 2022
Michael Allen Bokor Revocable Living Trust Agreement Dated May29, 2008 Organization, Ft Lauderdale, FL Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 8, 2022
Organization, Columbus, OH Financial institution Adp of the SNF Mar 28, 2025
Organization, Chicago, IL Adp of the SNF Mar 31, 2025
Organization, Cleveland, OH Adp of the SNF Mar 31, 2025
Individual Adp of the SNF Jul 5, 2023
Organization, Hartford, CT Adp of the SNF Mar 27, 2025
Individual Adp of the SNF May 7, 2024
Organization, Denver, CO Adp of the SNF Mar 31, 2025
Scsnf Investment Group LLC Organization, Sumter, SC Created for acquisition, LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 8, 2022 100%
Direct Ownership Interest Nov 8, 2022 100%
Organization, Flowery Branch, GA LLC, Consulting firm Adp of the SNF Mar 27, 2025
Organization, Jackson, NJ Corporation Adp of the SNF Mar 27, 2025
Organization, Woodcliff Lake, NJ LLC Adp of the SNF Mar 27, 2025
Michael Greenwald Individual 5% Or Greater Indirect Ownership Interest Nov 8, 2022
Organization, Fort Lauderdale, FL Corporation Adp of the SNF Jun 4, 2025
Individual Adp of the SNF May 1, 2023
Individual Adp of the SNF Sep 27, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1043930936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 STIRLING RD STE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CAROLINA AVE",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502815",
            "telephone_number": "803-775-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER EAST FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "BOKOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-239-4160"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sumter East Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.