Organization Active NPI

Newberry Operator LLC

Doing business as J.F. Hawkins

  • Skilled Nursing Facility
  • Newberry, SC
National Provider Identifier
1265587794
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF-234 Issued in SC
Legal business name
NEWBERRY OPERATOR LLC
Doing business as
J.F. Hawkins
J.F. Hawkins Nursing Home
Practice address
1330 Kinard St
Newberry, SC 29108-3038
Phone
(803) 276-2601
Fax
(803) 276-2602
NPI assigned
Jan 24, 2007
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Mr. Stacey Paul Rogers
Title
Chief Financial Officer
Phone
(502) 429-8062

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CRC-1250 SC
Skilled Nursing Facility 314000000X NCF-234 SC Primary

Addresses

Primary practice location

1330 Kinard St
Newberry, SC 29108-3038

Mailing address

7400 New la Grange Rd Ste 100
Louisville, KY 40222-4870
Phone (502) 429-8062

Other names 2

  • J.F. Hawkins Doing business as
  • J.F. Hawkins Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110721000778 SC Part A Provider - Skilled Nursing Facility 0840468641 Practice locations: Newberry, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265587794. Details of each certification follow.

Skilled nursing facility certification: CCN 425035

Legal name
NEWBERRY OPERATOR LLC
Doing business as
J. F. HAWKINS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Feb 5, 2025
Beds
118
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Oct 13, 2010 in DE
Enrollment address
1330 Kinard St
Newberry, SC 29108-3038
Nursing home name
J F HAWKINS NURSING HOME
Affiliated entity
PRESTIGE ADMINISTRATIVE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
J F Hawkins Nursing HomeCCN 425035 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
118108.4 residents per day on average
Chain
Prestige Administrative Services9 facilities in the chain
Penalties (3 years)
1Fines totaling $8,021

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
42D0675589J F Hawkins Nursing Home1330 Kinard St, Newberry, SC 29108Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Cody Healthcare S Corp Organization, Agoura Hills, CA Corporation, For-profit 5% Or Greater Direct Ownership Interest Feb 28, 2011 50%
B&Y Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Feb 28, 2011 50%
Prestige Administrative Services, LLC Organization, Louisville, KY LLC, Consulting firm, For-profit Operational/Managerial Control Jan 1, 2016
Newberry Manager, LLC Organization, Louisville, KY LLC, For-profit Operational/Managerial Control Feb 28, 2011
Craig a Flashner Individual Corporate OfficerLLC Manager Feb 28, 2011
Operational/Managerial ControlLLC Manager Feb 28, 2011
Kristine Ranel Kirk Individual W-2 Managing EmployeeBusiness Manager Jan 1, 2012
Robert L Norcross Individual Contracted Managing EmployeeCfo Feb 28, 2011
Craig Flashner 2007 Trust Organization, Agoura Hills, CA 5% Or Greater Indirect Ownership Interest Feb 28, 2011 50%
B&Y Healthcare S Corp Organization, Brooklyn, NY Corporation, For-profit 5% Or Greater Direct Ownership Interest Feb 28, 2011 50%
Stacey Paul Rogers Individual Contracted Managing EmployeeCfo Oct 20, 2014
Yitzchok a Perlstein Individual Corporate OfficerLLC Manager Feb 28, 2011
Operational/Managerial ControlLLC Manager Feb 28, 2011

Facilities with the same owner 77

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

View all 77

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1265587794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NEW LA GRANGE RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224870",
            "telephone_number": "502-429-8062",
            "fax_number": "866-360-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083038",
            "telephone_number": "803-276-2601",
            "fax_number": "803-276-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-429-8062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC-1250",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J.F. Hawkins",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "J.F. Hawkins Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newberry, SC

Sources for this page

Verify at the official NPI Registry.