Active NPI
Sumter East Facility LLC
Doing business as Sumter East Health and Rehabilitation Center
- Skilled Nursing Facility
- Sumter, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 1, 1977
- Medicare certification status
- Active
- Certified beds
- 176
- Penalties (3 years)
- 4
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0886879 | Sumter East Facility LLC Dba | Certificate of waiver | May 30, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bhgsc Holdings LLC | 5% Or Greater Indirect Ownership Interest | Nov 8, 2022 | 99% |
| Adp of the SNF | Mar 31, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Dec 18, 2023 | ||
| Adp of the SNF | Aug 25, 2023 | ||
| Adp of the SNF | Mar 31, 2025 | ||
| Bryan Hatton | Operational/Managerial Control | Mar 4, 2024 | |
| Adp of the SNF | Mar 4, 2024 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Mar 31, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | May 1, 2023 | ||
| Adp of the SNF | Jul 5, 2023 | ||
| Adp of the SNF | Apr 9, 2025 | ||
| Adp of the SNF | Nov 8, 2022 | ||
| Adp of the SNF | Apr 22, 2025 | ||
| Michael Allen Bokor | 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 | ||
| Adp of the SNF | May 1, 2023 | ||
| Adp of the SNF | Nov 8, 2022 | ||
| Indirect Ownership Interest | Jun 1, 2025 | 1% | |
| Adp of the SNF | Mar 28, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Adp of the SNF | Nov 8, 2022 | ||
| Carestrong LLC | 5% Or Greater Indirect Ownership Interest | Nov 8, 2022 | |
| Adp of the SNF | Mar 28, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Nov 1, 2022 | ||
| Peter K Maung | Operational/Managerial Control | Jul 17, 2023 | |
| Adp of the SNF | Jul 17, 2023 | ||
| Adp of the SNF | Jun 3, 2024 | ||
| Adp of the SNF | Feb 20, 2024 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Apr 9, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Dec 3, 2024 | ||
| Adp of the SNF | Nov 8, 2022 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Mar 28, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Nov 8, 2022 | ||
| Michael Allen Bokor Revocable Living Trust Agreement Dated May29, 2008 | 5% Or Greater Indirect Ownership Interest | Nov 8, 2022 | |
| Adp of the SNF | Mar 28, 2025 | ||
| Adp of the SNF | Mar 31, 2025 | ||
| Adp of the SNF | Mar 31, 2025 | ||
| Adp of the SNF | Jul 5, 2023 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | May 7, 2024 | ||
| Adp of the SNF | Mar 31, 2025 | ||
| Scsnf Investment Group LLC | 5% Or Greater Direct Ownership Interest | Nov 8, 2022 | 100% |
| Direct Ownership Interest | Nov 8, 2022 | 100% | |
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Adp of the SNF | Mar 27, 2025 | ||
| Michael Greenwald | 5% Or Greater Indirect Ownership Interest | Nov 8, 2022 | |
| Adp of the SNF | Jun 4, 2025 | ||
| Adp of the SNF | May 1, 2023 | ||
| 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Charleston, SC
- NPI 1740219922
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Seneca Health and Rehabilitation Center
- Skilled Nursing Facility
- Seneca, SC
- NPI 1063131589
Bhgsc Holdings LLC, Carestrong LLC, Michael Allen Bokor Revocable Living Trust Agreement Dated May29, 2008, Scsnf Investment Group LLC
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
- Sumter County Disabilities and Special Needs Boards
- Sumter County EMS
- Sumter Cut Rate Drug Store, LLC
- Sumter Cut Rate Drugstore II Inc
- Sumter Ear, Nose, Throat & Facial Plastic Surgery, LLC
- Sumter Family Dental Center
- Sumter Family Health Center (Sumter Family Health Center - Dental Services)
- Sumter Family Health Center
- Sumter Family Health Center - Administration
- Sumter Family Medicine Associates, P.a. (Sumter Family Medicine, PA)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.