NPIMap

Organization Active NPI

Railroad Crossing Healthcare, Inc.

  • Skilled Nursing Facility
  • Hanahan, SC
National Provider Identifier
1114608874
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RAILROAD CROSSING HEALTHCARE, INC.
Practice address
1800 Eagle Landing Blvd
Hanahan, SC 29410-8517
Phone
(843) 553-0656
NPI assigned
Jul 26, 2023
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

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

Addresses

Primary practice location

1800 Eagle Landing Blvd
Hanahan, SC 29410-8517

Mailing address

1800 Eagle Landing Blvd
Hanahan, SC 29410-8517

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231017003917 SC Part A Provider - Skilled Nursing Facility 8527413129 Practice locations: Hanahan, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114608874. Details of each certification follow.

Skilled nursing facility certification: CCN 425289

Legal name
RAILROAD CROSSING HEALTHCARE, INC.
Doing business as
THE RESERVE HEALTHCARE AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 27, 1989
Last certification
Apr 3, 2025
Beds
135
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Ensign Services
Organization structure
CorporationProprietary
Incorporated
Jul 26, 2023 in NV
Enrollment address
1800 Eagle Landing Blvd
Hanahan, SC 29410-8517
Nursing home name
THE RESERVE HEALTHCARE AND REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Reserve Healthcare And RehabilitationCCN 425289 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 27, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
135122.7 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jul 26, 2023 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Jul 26, 2023
Forrest Peterson Individual Corporate DirectorDirector Railroad Crossing Healthca Jan 1, 2024
Ami Sato Individual Corporate OfficerTreasurer Railroad Crossing Healthc Sep 9, 2024
Brent Thatcher Individual Corporate OfficerPresident Railroad Crossing Healthc Jul 26, 2023
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Frank J Newlands Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyMedical Director Sep 1, 2023
Adp of the SNF Sep 1, 2023
Hopewell Healthcare, Inc. Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Jul 26, 2023 100%
Gregory Hicks Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyAdministrator Sep 1, 2023
Adp of the SNF Sep 1, 2023
Soon Burnam Individual Corporate OfficerSecretary Railroad Crossing Healthc Jul 26, 2023

Owners & managing parties with NPI records 1

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

  • Frank J. Newlands, MD
    • Internal Medicine Physician
    • Greenville, SC
    • NPI 1770552895

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 7

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": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1114608874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 EAGLE LANDING BLVD",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294108517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 EAGLE LANDING BLVD",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294108517",
            "telephone_number": "843-553-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAILROAD CROSSING HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanahan, SC

Sources for this page

Verify at the official NPI Registry.