NPIMap

Organization Active NPI

Loris Rehab and Nursing Center, LLC

  • Skilled Nursing Facility
  • Loris, SC
National Provider Identifier
1194128520
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LORIS REHAB AND NURSING CENTER, LLC
Practice address
3620 Stevens Street
Loris, SC 29569
Phone
(843) 716-7106
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Mr. Dennis A Lofe, FACHE
Title
Manager / Ceo
Phone
(843) 395-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3620 Stevens Street
Loris, SC 29569

Mailing address

PO Box 510
Darlington, SC 29540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141211001973 SC Part A Provider - Skilled Nursing Facility 1456673920 Practice locations: Loris, SC

Skilled nursing facility certification: CCN 425086

Legal name
LORIS REHAB AND NURSING CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 6, 1971
Last certification
Dec 5, 2024
Beds
88
Ownership / control type
Corporation
Multi-facility organization
Wilson Senior Care, Inc
Organization structure
LLCProprietary
Incorporated
Aug 14, 2014 in SC
Enrollment address
3620 Stevens Street
Loris, SC 29569
Nursing home name
LORIS REHAB AND NURSING CENTER, LLC
Affiliated entity
WILSON SENIOR CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Loris Rehab And Nursing Center, LLCCCN 425086
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 6, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8872.9 residents per day on average
Chain
Wilson Senior Care5 facilities in the chain

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
42D0681757Loris Rehab & Nursing Center, LLC3620 Stevens Street, Loris, SC 29569Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Susan Odom Weesner Individual W-2 Managing EmployeeCfo Sep 26, 2014 20%
Dennis Andrew Lofe Individual Corporate OfficerCeo and Manager Sep 26, 2014 100%
W-2 Managing EmployeeCeo and Manager Sep 26, 2014 100%
Wilson Senior Care Inc Organization, Darlington, SC Corporation 5% Or Greater Direct Ownership Interest Sep 26, 2014 100%
Operational/Managerial Control Sep 26, 2014 100%
Wilson Senior Care Employee Stock Ownership Trust Organization, Darlington, SC 5% Or Greater Indirect Ownership Interest Sep 26, 2014 100%

Facilities with the same owner 4

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

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": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1194128520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "29540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 STEVENS STREET",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "29569",
            "telephone_number": "843-716-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIS REHAB AND NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "LOFE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER / CEO",
        "authorized_official_telephone_number": "843-395-8977",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loris, SC

Sources for this page

Verify at the official NPI Registry.