Angel Oak Nursing and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ANGEL OAK NURSING AND REHABILITATION CENTER LLC

Practice address

4452 Socastee Blvd
Myrtle Beach, SC 29588-7206

Phone

(843) 293-1137

NPI assigned

Apr 5, 2021

Last updated

Nov 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chaim Hyman

Title

Ceo

Phone

(305) 912-9260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235718404. Details of each certification follow.

• CCN 425323 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 425323

Legal name

ANGEL OAK NURSING AND REHABILITATION CENTER LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 19, 1992

Last certification

Nov 21, 2024

Beds

88

Ownership / control type

Limited Liability Corporation

Multi-facility organization

IVY HEALTHCARE GROUP

Organization structure

LLCProprietary

Incorporated

May 1, 2021 in SC

Enrollment address

4452 Socastee Blvd
Myrtle Beach, SC 29588-7206

Nursing home name

ANGEL OAK NURSING AND REHABILITATION CENTER, LLC

Affiliated entity

IVY HEALTHCARE GROUP

Listed as

Angel Oak Nursing and Rehabilitation Center, LLCCCN 425323 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 19, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8880.2 residents per day on average

Chain

Ivy Healthcare Group4 facilities in the chain

Penalties (3 years)

2Fines totaling $13,520

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

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

• Faisal Majeed, M.D

  • Internal Medicine Physician
  • Georgetown, SC
  • NPI 1225411838

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Faisal Majeed, M.D

  • Internal Medicine Physician
  • Georgetown, SC
  • NPI 1225411838

  Nursing home

  Care Compare affiliation
• Kenneth A Santiago, MD

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1801878186

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764201600000",
    "number": "1235718404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9429 HARDING AVE # 141",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331542803",
            "telephone_number": "305-912-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 SOCASTEE BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887206",
            "telephone_number": "843-293-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL OAK NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-912-9260"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill M Anderson, MA, LPC
• Ava Andrews, RPH
• Stephen Francis Andrews, DO
• Anesthesia SC LLC
• Alexander Anetakis
• Angelic Health of SC LLC (Angelic Hospice)
• Angelic Health of SC LLC
• Angelic Health Practice Group (Angelic Behavioral Health of SC)
• Angelic Health Practice Group (Angelic Palliative Care of SC)
• Michelle Angelo, DPT

• Skilled Nursing Facility in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; 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.

Verify at the official NPI Registry.