NPIMap

Organization Active NPI

Rock Hill Healthcare LLC

Doing business as Rock Hill Post Acute Care Center

  • Skilled Nursing Facility
  • Rock Hill, SC
National Provider Identifier
1265807242
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROCK HILL HEALTHCARE LLC
Doing business as
Rock Hill Post Acute Care Center
Practice address
159 Sedgewood Dr
Rock Hill, SC 29732-2315
Phone
(803) 329-6565
NPI assigned
Dec 2, 2015
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

159 Sedgewood Dr
Rock Hill, SC 29732-2315

Mailing address

159 Sedgewood Dr
Rock Hill, SC 29732-2315
Phone (803) 329-6565

Other names 1

  • Rock Hill Post Acute Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160921000014 SC Part A Provider - Skilled Nursing Facility 7911294822 Practice locations: Rock Hill, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265807242. Details of each certification follow.

Skilled nursing facility certification: CCN 425159

Legal name
ROCK HILL HEALTHCARE LLC
Doing business as
ROCK HILL POST ACUTE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 6, 1987
Last certification
Aug 15, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Ensign Services
Organization structure
LLCProprietary
Enrollment address
159 Sedgewood Dr
Rock Hill, SC 29732-2315
Nursing home name
ROCK HILL POST ACUTE CARE CENTER
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rock Hill Post Acute Care CenterCCN 425159 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 6, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9982.6 residents per day on average
Chain
The Ensign Group342 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
42D0253584Rock Hill Healthcare, LLC159 Sedgewood Dr, Rock Hill, SC 29732Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Onshift Inc Organization, Dallas, TX Corporation Operational/Managerial Control Jan 1, 2016
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jan 30, 2006 100%
Adp of the SNF Jan 1, 2016
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Nov 16, 2015
Forrest Peterson Individual Corporate OfficerSole Manager Jan 1, 2024
Ami Sato Individual Corporate OfficerTreasurer Rock Hill Healthcare, Inc Sep 9, 2024
Organization, San Juan Capistrano, CA LLC Adp of the SNF Jan 1, 2016
Tamara Elizabeth Chittenden Individual Operational/Managerial Control Sep 1, 2019
Managing Control - Governing BodyMedical Director Sep 1, 2019
Adp of the SNF Jul 17, 2025
Brent Thatcher Individual Corporate OfficerPresident Rock Hill Healthcare, Inc Jan 1, 2022
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Jan 1, 2016
Kate P Johnson Individual Operational/Managerial Control Dec 21, 2018
Adp of the SNF Dec 21, 2018
Sedgewood Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Jan 1, 2016
Reliablecare Staffing Solutions LLC Organization, Charlotte, NC LLC Operational/Managerial Control Jan 1, 2016
Hopewell Healthcare, Inc. Organization, San Juan Capistrano, CA LLC Direct Ownership Interest Jan 1, 2016 100%
Soon Burnam Individual Corporate OfficerSecretary Rock Hill Healthcare, Inc Nov 16, 2015

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 18

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

View all 18

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1265807242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 SEDGEWOOD DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322315",
            "telephone_number": "803-329-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 SEDGEWOOD DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322315",
            "telephone_number": "803-329-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK HILL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rock Hill Post Acute Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rock Hill Post Acute Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.