Organization Active NPI

Southern Charm Healthcare LLC

Doing business as Opus Post Acute Rehabilitation

  • Skilled Nursing Facility
  • West Columbia, SC
National Provider Identifier
1346615200
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SOUTHERN CHARM HEALTHCARE LLC
Doing business as
Opus Post Acute Rehabilitation
Practice address
300 Agape Dr
West Columbia, SC 29169-3307
Phone
(803) 739-5282
NPI assigned
Dec 3, 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 NU Primary

Addresses

Primary practice location

300 Agape Dr
West Columbia, SC 29169-3307

Mailing address

300 Agape Dr
West Columbia, SC 29169-3307
Phone (803) 739-5282

Other names 1

  • Opus Post Acute Rehabilitation 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
O20160921000112 SC Part A Provider - Skilled Nursing Facility 5991092801 Practice locations: West Columbia, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346615200. Details of each certification follow.

Skilled nursing facility certification: CCN 425379

Legal name
SOUTHERN CHARM HEALTHCARE LLC
Doing business as
OPUS POST ACUTE REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 14, 2003
Last certification
Dec 16, 2024
Beds
98
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Nov 16, 2015 in NV
Enrollment address
300 Agape Dr
West Columbia, SC 29169-3307
Nursing home name
OPUS POST ACUTE REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Opus Post Acute RehabilitationCCN 425379 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 14, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9884.3 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
2Fines totaling $12,043

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
42D1006423Southern Charm Healthcare, Inc300 Agape Drive, West Columbia, SC 29169Certificate of waiverNov 14, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Barry M Smith Individual Corporate DirectorBoard Member the Ensign Group Inc. Jun 1, 2014
Ann Scott Blouin Individual Corporate DirectorBoard Member the Ensign Group Inc. Nov 28, 2018
Barry Port Individual Corporate OfficerSee Below Jul 26, 2018
John O Agwunobi Individual Corporate DirectorBoard Member the Ensign Group Inc. Jan 1, 2023
Agape Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Jan 1, 2022
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2015 100%
Adp of the SNF Jan 1, 2022
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation, For-profit Adp of the SNF Jan 1, 2016
Forrest Peterson Individual Corporate OfficerSole Manager Southern Charm Healthc Jan 1, 2016
Christopher R Christensen Individual Corporate OfficerDirector of Ensign Services, Inc. Nov 1, 2014
Mark V Parkinson Individual Corporate DirectorBoard Member the Ensign Group Inc. Oct 1, 2024
Daren Shaw Individual Corporate DirectorBoard Member the Ensign Group Inc. Mar 1, 2012
Chad Keetch Individual Corporate OfficerSee Below Dec 17, 2021
Swati Abbott Individual Corporate DirectorBoard Member the Ensign Group Inc. Jan 1, 2020
Standard Bearer Healthcare Op, LP Organization, San Juan Capistrano, CA Adp of the SNF Jan 1, 2022
Khurram Rashid Individual Managing Control - Governing BodyMedical Director Sep 26, 2019
Adp of the SNF Apr 12, 2025
Jose Rodriguez Individual Operational/Managerial Control Sep 22, 2022
Adp of the SNF Sep 22, 2022
Suzanne D Snapper Individual Corporate OfficerCfo the Ensign Group, Inc. Aug 1, 2009
Spencer W Burton Individual Corporate OfficerPresident the Ensign Group, Inc. May 30, 2015
Hopewell Healthcare, Inc. Organization, San Juan Capistrano, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 16, 2015 100%
Beverly B Wittekind Individual Corporate OfficerTreasurer Ensign Services, Inc. Sep 29, 2008
Soon Burnam Individual Corporate OfficerSecretary Southern Charm Healthcare Nov 16, 2015
Managing Control - Governing BodyAuthorized Official 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 7

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

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": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1346615200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AGAPE DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693307",
            "telephone_number": "803-739-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AGAPE DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693307",
            "telephone_number": "803-739-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CHARM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "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": "NU",
            "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": "Opus Post Acute Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Opus Post Acute Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.