Active NPI
Wilson Senior Care Honorage LLC
- Skilled Nursing Facility
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WILSON SENIOR CARE HONORAGE LLC
- Practice address
- 1207 N Cashua Dr
Florence, SC 29501-6937 - Phone
- (843) 395-8971
- Fax
- (843) 395-8972
- NPI assigned
- Jan 11, 2024
- Organization subpart
- Yes
- Parent organization
- WILSON SENIOR CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan O Weesner
- Title
- Cfo
- Phone
- (843) 395-8971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1207 N Cashua Dr
Florence, SC 29501-6937
Mailing address
PO Box 510
Darlington, SC 29540-0510
Phone (843) 395-8971
Other names 2
- Filter... Info Icon Honorage Nursing Center
- Honorage Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240820000710 | SC | Part A Provider - Skilled Nursing Facility | 3870031081 | Practice locations: Florence, SC |
Skilled nursing facility certification: CCN 425115
- Legal name
- WILSON SENIOR CARE HONORAGE LLC
- Doing business as
- HONORAGE NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1978
- Last certification
- May 30, 2024
- Beds
- 88
- Ownership / control type
- Corporation
- Multi-facility organization
- Wilson Senior Care
- Organization structure
- LLC
- Incorporated
- in SC
- Enrollment address
- 1207 N Cashua Dr
Florence, SC 29501-6937 - Nursing home name
- HONORAGE NURSING CENTER
- Affiliated entity
- WILSON SENIOR CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Honorage Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 1978
- Medicare certification status
- Active
- Certified beds
- 88
- Chain
- Wilson Senior Care
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Susan Odom Weesner | Corporate Officer | Jan 31, 2024 | 20% |
| Operational/Managerial Control | Jan 31, 2024 | ||
| Managing Control - Governing Body | Jan 31, 2024 | ||
| Adp of the SNF | Jan 31, 2024 | ||
| Tyler a Lofe | Operational/Managerial Control | Jan 31, 2024 | |
| Managing Control - Governing Body | Jan 31, 2024 | ||
| Dennis Andrew Lofe | Corporate Officer | Jan 31, 2024 | 60% |
| Operational/Managerial Control | Jan 31, 2024 | ||
| Managing Control - Governing Body | Jan 31, 2024 | ||
| Adp of the SNF | Jan 31, 2024 | ||
| Indirect Ownership Interest | Jan 31, 2024 | ||
| Anna Byrd | Operational/Managerial Control | Jan 31, 2024 | |
| Managing Control - Governing Body | Jan 31, 2024 | ||
| Wilson Senior Care Inc | 5% Or Greater Direct Ownership Interest | Jan 31, 2024 | 100% |
| Direct Ownership Interest | Jan 31, 2024 | 100% | |
| Wilson Senior Care Employee Stock Ownership Trust | 5% Or Greater Indirect Ownership Interest | Jan 31, 2024 | 100% |
| Honorage Properties LLC | 5% Or Greater Indirect Ownership Interest | Jan 31, 2024 | 100% |
| Heather Jordan | Operational/Managerial Control | Jan 31, 2024 |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Loris, SC
- NPI 1194128520
Wilson Senior Care Employee Stock Ownership Trust, Wilson Senior Care Inc
-
- Skilled Nursing Facility
- Darlington, SC
- NPI 1972598225
Wilson Senior Care Inc
-
- Skilled Nursing Facility
- Hartsville, SC
- NPI 1467447797
Wilson Senior Care Inc
-
- Skilled Nursing Facility
- Darlington, SC
- NPI 1437144771
Wilson Senior Care Inc
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": "1704931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705276800000",
"number": "1194596882",
"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": "295400510",
"telephone_number": "843-395-8971",
"fax_number": "843-395-8972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 N CASHUA DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295016937",
"telephone_number": "843-395-8971",
"fax_number": "843-395-8972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON SENIOR CARE HONORAGE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WILSON SENIOR CARE INC",
"enumeration_date": "2024-01-11",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A",
"authorized_official_last_name": "WEESNER",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "843-395-8971",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Filter... Info Icon Honorage Nursing Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Honorage Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.