NPIMap

Organization Active NPI

Carlyle Senior Care of Bishopville,LLC

Doing business as McCoy Memorial Nursing Center

  • Skilled Nursing Facility
  • Bishopville, SC
National Provider Identifier
1083692602
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CARLYLE SENIOR CARE OF BISHOPVILLE,LLC
Doing business as
McCoy Memorial Nursing Center
Practice address
207 Chappell Dr
Bishopville, SC 29010-1167
Phone
(803) 484-5636
Fax
(803) 484-6311
NPI assigned
Jan 4, 2006
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Richard Cranford
Title
Ceo
Phone
(843) 799-0756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

207 Chappell Dr
Bishopville, SC 29010-1167

Mailing address

207 Chappell Dr
Bishopville, SC 29010-1167
Phone (803) 484-5636

Other identifiers 1

IdentifierTypeStateIssuer
0539NHMedicaidSC

Other names 1

  • McCoy Memorial Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160902001497 SC Part A Provider - Skilled Nursing Facility 2264728070 Practice locations: Bishopville, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083692602. Details of each certification follow.

Skilled nursing facility certification: CCN 425174

Legal name
CARLYLE SENIOR CARE OF BISHOPVILLE,LLC
Doing business as
MCCOY MEMORIAL NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 21, 1989
Last certification
Mar 21, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jun 22, 2016 in SC
Enrollment address
207 Chappell Dr
Bishopville, SC 29010-1167
Nursing home name
MCCOY MEMORIAL NURSING CENTER
Affiliated entity
CARLYLE SENIOR CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
McCoy Memorial Nursing CenterCCN 425174 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 21, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.5 residents per day on average
Chain
Carlyle Senior Care7 facilities in the chain
Penalties (3 years)
1Fines totaling $8,512

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
42D0960424McCoy Memorial Nursing Center207 Chappell Drive, Bishopville, SC 29010Certificate of waiverMay 9, 2027

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
New Day Senior Care Management Organization, Florence, SC Management services company Operational/Managerial Control Jul 1, 2016
Adp of the SNF Nov 17, 2025
Carlyle Senior Care Management Company, LLC Organization, Florence, SC Management services company Operational/Managerial Control Jul 1, 2016
Adp of the SNF Nov 17, 2025
Schmoyer and Company LLC Organization, Columbia, SC Consulting firm Adp of the SNF Oct 31, 2025
Richard Sherill Cranford Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2016 67%
Corporate DirectorCeo Jul 1, 2016 67%
Managing Control - Governing BodyPresident Jul 1, 2016
Adp of the SNF Jul 1, 2016
Direct Ownership Interest Dec 22, 2025
Indirect Ownership Interest Jul 1, 2016 67%
Braxton W Barnette Individual 5% Or Greater Indirect Ownership InterestVP/Cfo Jul 1, 2016 33%
Limited Partnership InterestVP/Cfo Jul 1, 2016 33%
Corporate OfficerVP/Cfo Jul 1, 2016 33%
Corporate DirectorVP/Cfo Jul 1, 2016 33%
Managing Control - Governing BodyMember Jul 1, 2016
Adp of the SNF Jul 1, 2016
Indirect Ownership Interest Jul 1, 2016 33%
Healthpro Heritage LLC Organization, Greenville, SC LLC Operational/Managerial Control Oct 31, 2025
Adp of the SNF Oct 31, 2025
New Day Health Ventures, LLC Organization, Florence, SC LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Operational/Managerial Control Jul 1, 2016
R Mac Chapman, MD Organization, Hartsville, SC Medical provider/supplier Operational/Managerial Control Oct 31, 2025
Adp of the SNF Dec 22, 2025
Shiftkey LLC Organization, Dallas, TX Medical staffing company Operational/Managerial Control Oct 31, 2025
Individual Adp of the SNF Jul 1, 2016
Jeffrey Gibbs Individual Operational/Managerial Control May 10, 2021
Adp of the SNF May 10, 2021

Facilities with the same owner 12

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": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1083692602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CHAPPELL DR",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290101167",
            "telephone_number": "803-484-5636",
            "fax_number": "803-484-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 CHAPPELL DR",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290101167",
            "telephone_number": "803-484-5636",
            "fax_number": "803-484-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLYLE SENIOR CARE OF BISHOPVILLE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "CRANFORD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-799-0756"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0539NH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCoy Memorial Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bishopville, SC

Sources for this page

Verify at the official NPI Registry.