NPIMap

Organization Active NPI

St Francis Hospital Inc

Doing business as St. Francis Inpatient Rehab

  • Rehabilitation Hospital
  • Greenville, SC
National Provider Identifier
1063454544
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
HTL794 Issued in SC
Legal business name
ST FRANCIS HOSPITAL INC
Doing business as
St. Francis Inpatient Rehab
Practice address
1 Saint Francis Dr
Greenville, SC 29601-3955
Phone
(864) 255-1900
Fax
(864) 255-1913
NPI assigned
Jun 11, 2006
Last updated
Sep 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Kimberly Ralston
Title
System Director
Phone
(419) 996-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X HTL794 SC Primary

Addresses

Primary practice location

1 Saint Francis Dr
Greenville, SC 29601-3955

Mailing address

PO Box 631098
Cincinnati, OH 45263-1098
Phone (513) 952-5002

Other names 1

  • St. Francis Inpatient Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081024000545 SC Part A Provider - Hospital 3779487186 Practice locations: Greenville, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063454544. Details of each certification follow.

Hospital certification: CCN 42T023

Legal name
ST FRANCIS HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Oct 27, 1999 in SC
Enrollment address
1 Saint Francis Dr
Greenville, SC 29601-3955
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Bon Secour St. Francis Inpatient Rehab CenterCCN 42T023 · All quality measures
Ownership
Non-profit
Certified
Apr 13, 2023

National Provider Directory

National Provider Directory
Tax ID family
St Francis Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1007 Grove Rd
#B
Greenville, SC 29605
Phone (864) 242-4602

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Robert David Siegel Individual Corporate DirectorBoard Member Jan 1, 2024
Kathryn Clauss Individual Corporate DirectorBoard Member Jan 1, 2018
Ahmad M Boota Individual Corporate DirectorBoard Member Jan 1, 2025
Doris Haley Individual Corporate DirectorBoard Member Jan 1, 2023
Matthew T Caldwell Individual Corporate OfficerPresident Apr 29, 2019
Corporate DirectorPresident Apr 29, 2019
W-2 Managing EmployeePresident Apr 29, 2019
Kimberly F Cooley Individual Corporate DirectorBoard Member Jan 1, 2025
David a Cannady Individual Corporate DirectorBoard Member Jan 1, 2023
Carl S Sobocinski Individual Corporate DirectorBoard Member Jan 1, 2025
Brian Yanofchick Individual Corporate DirectorBoard Member Jan 1, 2023
Bon Secours Mercy Health Inc Organization, Cincinnati, OH Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
John T Pazdan Individual Corporate DirectorBoard Member Jan 1, 2018
John Starcher Individual Operational/Managerial ControlCho Admin Sep 1, 2018
Frederick Gilmer Individual Corporate DirectorBoard Member Jan 1, 2023
Paola a Rogers Individual Corporate DirectorBoard Member Jan 1, 2025
Thomas C Mann Individual Corporate DirectorBoard Member Jan 1, 2021
Wendy Walden Individual Corporate DirectorBoard Member Jan 1, 2018
Lee C Palms Individual Corporate DirectorBoard Member Jan 1, 2023
Bon Secours St. Francis Health System, Inc. Organization, Greenville, SC Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2000 100%
Gary Daniels Individual Corporate DirectorBoard Member Jan 1, 2021
Matthew Cooney Individual Corporate DirectorBoard Member Jan 1, 2021
Mary E Davia Individual Corporate DirectorBoard Member Jan 1, 2025
Kenneth P Baca Individual Corporate DirectorBoard Member Jan 1, 2017
Kimberly M Ralston Individual W-2 Managing EmployeeVP Reimbursement Sep 1, 2018

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bon Secours Home HealthRichmond, VA, CCN 497026C Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) May 1, 2024
Mercy Health - Home Care PaducahPaducah, KY, CCN 187100 Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) Apr 23, 2024
Mercy Health Home Health LimaLima, OH, CCN 367417 Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) Apr 23, 2024
Mercy Health Home Care by CompassusTiffin, OH, CCN 367523 Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) Apr 23, 2024
Mercy Health Home Care Lorain CountyLorain, OH, CCN 367218 Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) Apr 23, 2024
Bon Secours Home Care by CompassusSt Petersburg, FL, CCN 108384 Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) Jul 1, 2024
Bon Secours Home Care by CompassusSun City Center, FL, CCN 109645 Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) Jul 1, 2024
Bon Secours Hospice and Palliative CareRichmond, VA, CCN 491514 Hospice 5% Or Greater Indirect Ownership Interest (12.61%) May 1, 2024
Mercy Health - Hospice, LimaLima, OH, CCN 361543 Hospice 5% Or Greater Indirect Ownership Interest (12.61%) Apr 23, 2024
Mercy Health Hospice by CompassusMetropolis, IL, CCN 141548 Hospice 5% Or Greater Indirect Ownership Interest (12.61%) Apr 23, 2024
Mercy Health Home Care by CompassusLorain, OH, CCN 361563 Hospice 5% Or Greater Indirect Ownership Interest (13.53%) Apr 23, 2024
Mercy Health- Hospice PaducahPaducah, KY, CCN 181507 Hospice 5% Or Greater Indirect Ownership Interest (13.53%) Apr 23, 2024

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Facilities with the same owner 97

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

View all 97

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1063454544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631098",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631098",
            "telephone_number": "513-952-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT FRANCIS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013955",
            "telephone_number": "864-255-1900",
            "fax_number": "864-255-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "SC",
            "license": "HTL794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis Inpatient Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Francis Inpatient Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.