NPIMap

Organization Active NPI

Mt. Pleasant SNF, LLC

Doing business as Cooper River Post Acute

  • Skilled Nursing Facility
  • Mount Pleasant, SC
National Provider Identifier
1073185740
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MT. PLEASANT SNF, LLC
Doing business as
Cooper River Post Acute
Practice address
1049 Anna Knapp Blvd
Mount Pleasant, SC 29464-3133
Phone
(843) 654-4744
NPI assigned
Jul 13, 2021
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
John Mitchell
Title
Secretary
Phone
(385) 988-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1049 Anna Knapp Blvd
Mount Pleasant, SC 29464-3133

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other names 1

  • Cooper River Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211220000003 SC Part A Provider - Skilled Nursing Facility 3678964061 Practice locations: Mount Pleasant, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073185740. Details of each certification follow.

Skilled nursing facility certification: CCN 425146

Legal name
MT. PLEASANT SNF, LLC
Doing business as
COOPER RIVER POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1981
Last certification
Apr 10, 2025
Beds
176
Ownership / control type
Limited Liability Corporation
Multi-facility organization
PACs
Organization structure
LLCProprietary
Incorporated
Jan 19, 2021 in SC
Enrollment address
1049 Anna Knapp Blvd
Mount Pleasant, SC 29464-3133
Nursing home name
SANDPIPER POST ACUTE
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Sandpiper Post AcuteCCN 425146 · 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 - Limited Liability company
Certified
Sep 1, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
176161.1 residents per day on average
Chain
Pacs Group274 facilities in the chain
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $73,787

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
42D0251248Cooper River Post Acute1049 Anna Knapp Blvd, Mt Pleasant, SC 29464Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Providence Group Inc Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 19, 2021 100%
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Jan 19, 2021 50%
John T Mitchell Individual Corporate OfficerSecretary Jan 1, 2024
Frederick G Apt Individual Corporate OfficerTreasurer Jan 1, 2024
Palmetto Master Tenant, LLC Organization, Farmington, UT Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 19, 2021 100%
Tanner Litchfield Individual W-2 Managing EmployeeAd; Mar 20, 2024
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Joshua O Jergensen Individual Corporate OfficerPresident Jan 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Charles Wendell Outz Individual Contracted Managing EmployeeMD; Mar 1, 2022
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Jan 19, 2021 50%

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 80

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

View all 80

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": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1073185740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 ANNA KNAPP BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643133",
            "telephone_number": "843-654-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. PLEASANT SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooper River Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.