NPIMap

Organization Active NPI

Saint Matthews Health Care LLC

Doing business as Calhoun Convalescent Center

  • Skilled Nursing Facility
  • St Matthews, SC
National Provider Identifier
1053704379
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SAINT MATTHEWS HEALTH CARE LLC
Doing business as
Calhoun Convalescent Center
Practice address
601 Dantzler St
Saint Matthews, SC 29135-1522
Phone
(803) 655-7101
Fax
(803) 655-7180
NPI assigned
Mar 11, 2015
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Melissa Kizer
Title
President
Phone
(803) 655-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

601 Dantzler St
Saint Matthews, SC 29135-1522

Mailing address

601 Dantzler St
Saint Matthews, SC 29135-1522
Phone (803) 655-7101

Other identifiers 1

IdentifierTypeStateIssuer
NF1059MedicaidSC

Other names 1

  • Calhoun Convalescent Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151015001413 SC Part A Provider - Skilled Nursing Facility 2769791664 Practice locations: Saint Matthews, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053704379. Details of each certification follow.

Skilled nursing facility certification: CCN 425170

Legal name
SAINT MATTHEWS HEALTH CARE LLC
Doing business as
CALHOUN CONVALESCENT CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 26, 1989
Last certification
Mar 26, 2025
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Fundamental Long Term Care, Inc.
Organization structure
LLCProprietary
Incorporated
Jan 14, 2015 in DE
Enrollment address
601 Dantzler St
Saint Matthews, SC 29135-1522
Nursing home name
CALHOUN CONVALESCENT CENTER
Affiliated entity
FUNDAMENTAL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Calhoun Convalescent CenterCCN 425170 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 26, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.1 residents per day on average
Chain
Fundamental Healthcare66 facilities in the chain
Penalties (3 years)
2Fines totaling $23,735

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Thi of South Carolina, LLC Organization, Sparks, MD LLC 5% Or Greater Direct Ownership Interest Jan 14, 2015 100%
Murray Forman Individual 5% Or Greater Indirect Ownership Interest Mar 28, 2006 100%
Mark McElwee Individual Corporate OfficerPresident Jan 1, 2022
W-2 Managing EmployeeAdministrator Jan 1, 2022
Thi of Baltimore, Inc. Organization, Sparks, MD For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2007 100%
Hunt Valley Holdings LLC Organization, Sparks, MD LLC 5% Or Greater Indirect Ownership Interest Feb 9, 2010 100%

Facilities with the same owner 40

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

View all 40

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": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1053704379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DANTZLER ST",
            "city": "SAINT MATTHEWS",
            "state": "SC",
            "postal_code": "291351522",
            "telephone_number": "803-655-7101",
            "fax_number": "803-655-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DANTZLER ST",
            "city": "SAINT MATTHEWS",
            "state": "SC",
            "postal_code": "291351522",
            "telephone_number": "803-655-7101",
            "fax_number": "803-655-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MATTHEWS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "KIZER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-655-7101"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NF1059",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calhoun Convalescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Matthews, SC

Sources for this page

Verify at the official NPI Registry.