NPIMap

Organization Active NPI

St George Health Care LLC

Doing business as St George Healthcare Center

  • Skilled Nursing Facility
  • Saint George, SC
National Provider Identifier
1245780253
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST GEORGE HEALTH CARE LLC
Doing business as
St George Healthcare Center
Practice address
905 Dukes St
Saint George, SC 29477-2059
Phone
(843) 563-4602
NPI assigned
Oct 13, 2016
Reactivated
Mar 31, 2026
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Rusty Flathmann
Title
President
Phone
(410) 773-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

905 Dukes St
Saint George, SC 29477-2059

Mailing address

905 Dukes St
Saint George, SC 29477-2059
Phone (843) 563-4602

Other names 1

  • St George Healthcare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171005001610 SC Part A Provider - Skilled Nursing Facility 8123393808 Practice locations: Saint George, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245780253. Details of each certification follow.

Skilled nursing facility certification: CCN 425143

Legal name
ST GEORGE HEALTH CARE LLC
Doing business as
ST. GEORGE HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 18, 1981
Last certification
Jan 9, 2025
Beds
88
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Fundamental Clinical and Operation Svcs.
Organization structure
LLCProprietary
Enrollment address
905 Dukes St
Saint George, SC 29477-2059
Nursing home name
ST GEORGE HEALTHCARE CENTER
Affiliated entity
FUNDAMENTAL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
St George Healthcare CenterCCN 425143 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 18, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8882.3 residents per day on average
Chain
Fundamental Healthcare66 facilities in the chain
Penalties (3 years)
1Fines totaling $16,894

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
42D0891363St George Health Care Center905 Dukes Street, St George, SC 29477Certificate of waiverSep 6, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Fundamental Clinical and Operational Services, LLC Organization, Sparks, MD LLC Adp of the SNF Aug 1, 2017
Thi of South Carolina, LLC Organization, Sparks, MD LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2017 100%
Operational/Managerial Control Aug 1, 2017
Murray Forman Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2017 100%
Fundamental Administrative Services LLC Organization, Sparks, MD LLC Adp of the SNF Aug 1, 2017
Beth S Price Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Thi of Baltimore, Inc. Organization, Sparks, MD Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2017 100%
Hunt Valley Holdings LLC Organization, Sparks, MD LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2017 100%
Michele Baptiste Individual Corporate OfficerPresident/Administrator Dec 2, 2024
Operational/Managerial Control Dec 2, 2024
Adp of the SNF Dec 2, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1245780253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 DUKES ST",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772059",
            "telephone_number": "843-563-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 DUKES ST",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772059",
            "telephone_number": "843-563-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "deactivation_date": "2026-03-15",
        "reactivation_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "FLATHMANN",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-773-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St George Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint George, SC

Sources for this page

Verify at the official NPI Registry.