NPIMap

Organization Active NPI

Spartanburg Hospital for Restorative Care

  • Skilled Nursing Facility
  • Spartanburg, SC
National Provider Identifier
1073532081
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF - 915 Issued in SC
Legal business name
SPARTANBURG HOSPITAL FOR RESTORATIVE CARE
Practice address
389 Serpentine Dr
Spartanburg, SC 29303-3026
Phone
(864) 560-3235
Fax
(864) 560-3158
NPI assigned
Jul 19, 2006
Last updated
Aug 3, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Mrs. Anita M. Butler
Title
Ceo
Phone
(864) 560-3235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCF - 915 SC Primary

Addresses

Primary practice location

389 Serpentine Dr
Spartanburg, SC 29303-3026

Mailing address

389 Serpentine Dr
Spartanburg, SC 29303-3026
Phone (864) 560-3235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060117000300 SC Part A Provider - Skilled Nursing Facility 4688579048 Practice locations: Spartanburg, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073532081. Details of each certification follow.

Skilled nursing facility certification: CCN 425384

Legal name
SPARTANBURG HOSPITAL FOR RESTORATIVE CARE
Doing business as
SPARTANBURG HOSPITAL FOR RESTORATIVE CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Mar 7, 2006
Last certification
Sep 11, 2024
Beds
25
Ownership / control type
Federal
Multi-facility organization
Spartanburg Regional Health Services District, Inc
Organization structure
OtherNon-profit
Incorporated
May 1, 1995 in SC
Enrollment address
389 Serpentine Dr
Spartanburg, SC 29303-3026
Nursing home name
SPARTANBURG HOSPITAL FOR RESTORATIVE CARE SNF

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Spartanburg Hospital for Restorative Care SNFCCN 425384 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Government - Federal
Certified
Mar 7, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2517.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
SPBG Hospital Restorati2 organizations share this tax ID, including this one
Part of
Spartanburg Regional Health Services District Inc

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
James J Harber Individual Adp of the SNF Jan 31, 2025
Apella Health Management Inc Organization, Spartanburg, SC Non-profit Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jan 31, 2025
Direct Ownership Interest Jan 1, 2019
Patricia Stimac Individual Operational/Managerial Control Jun 4, 2001
Adp of the SNF Jan 31, 2025
Spartanburg Regional Health Services District Inc Organization, Spartanburg, SC 5% Or Greater Direct Ownership Interest May 1, 1995 100%
Charles E Morrow Individual Corporate OfficerCoo- Medical Group & Post Acute Dec 4, 2023
Bruce a Davis Individual Corporate OfficerEvp, Cfo Jan 25, 2020

Owners & managing parties with NPI records 3

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

Facilities with the same owner 19

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

View all 19

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1073532081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 SERPENTINE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033026",
            "telephone_number": "864-560-3235",
            "fax_number": "864-560-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 SERPENTINE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033026",
            "telephone_number": "864-560-3235",
            "fax_number": "864-560-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG HOSPITAL FOR RESTORATIVE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-560-3235",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF - 915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.