NPIMap

Organization Active NPI

Palmetto Faith Operating LLC

Doing business as Faith Healthcare Center

  • Skilled Nursing Facility
  • Florence, SC
National Provider Identifier
1053493684
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF-845S Issued in SC
Legal business name
PALMETTO FAITH OPERATING LLC
Doing business as
Faith Healthcare Center
Practice address
617 W Marion St
Florence, SC 29501-2421
Phone
(843) 669-9958
NPI assigned
Oct 20, 2006
Last updated
Jul 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Hany Joseph Hanna
Title
Administrator
Phone
(843) 669-9958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCF-845S SC Primary

Addresses

Primary practice location

617 W Marion St
Florence, SC 29501-2421

Mailing address

617 W Marion St
Florence, SC 29501-2421

Other identifiers 1

IdentifierTypeStateIssuer
0927NFMedicaidSC

Other names 1

  • Faith Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061128000311 SC Part A Provider - Skilled Nursing Facility 3779581855 Practice locations: Florence, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053493684. Details of each certification follow.

Skilled nursing facility certification: CCN 425009

Legal name
PALMETTO FAITH OPERATING LLC
Doing business as
FAITH HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 23, 1978
Last certification
Feb 6, 2025
Beds
104
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Fundamental
Organization structure
LLCProprietary
Incorporated
Aug 30, 2006 in DE
Enrollment address
617 W Marion St
Florence, SC 29501-2421
Nursing home name
FAITH HEALTHCARE CENTER
Affiliated entity
FUNDAMENTAL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Faith Healthcare CenterCCN 425009 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 23, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10497.7 residents per day on average
Chain
Fundamental Healthcare66 facilities in the chain
Penalties (3 years)
1Fines totaling $8,281

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Palmetto Health Care LLC Organization, Sparks, MD LLC 5% Or Greater Direct Ownership Interest Aug 22, 2006 100%
Edison B Arnette Individual W-2 Managing EmployeeAdministrator Aug 2, 2017
Murray Forman Individual 5% Or Greater Indirect Ownership Interest Aug 22, 2006 99%
Kenneth a Tabler Individual Corporate OfficerPresident Aug 15, 2015

Facilities with the same owner 4

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1053493684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W MARION ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W MARION ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012421",
            "telephone_number": "843-669-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FAITH OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "HANY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-669-9958"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-845S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0927NF",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.