Active NPI
Southern Charm Healthcare LLC
Doing business as Opus Post Acute Rehabilitation
- Skilled Nursing Facility
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 14, 2003
- Medicare certification status
- Active
- Certified beds
- 98
- Chain
- The Ensign Group
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1006423 | Southern Charm Healthcare, Inc | Certificate of waiver | Nov 14, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Barry M Smith | Corporate Director | Jun 1, 2014 | |
| Ann Scott Blouin | Corporate Director | Nov 28, 2018 | |
| Barry Port | Corporate Officer | Jul 26, 2018 | |
| John O Agwunobi | Corporate Director | Jan 1, 2023 | |
| Agape Health Holdings LLC | Adp of the SNF | Jan 1, 2022 | |
| The Ensign Group Inc | 5% Or Greater Indirect Ownership Interest | Nov 16, 2015 | 100% |
| Adp of the SNF | Jan 1, 2022 | ||
| Ensign Services Inc | Adp of the SNF | Jan 1, 2016 | |
| Forrest Peterson | Corporate Officer | Jan 1, 2016 | |
| Christopher R Christensen | Corporate Officer | Nov 1, 2014 | |
| Mark V Parkinson | Corporate Director | Oct 1, 2024 | |
| Daren Shaw | Corporate Director | Mar 1, 2012 | |
| Chad Keetch | Corporate Officer | Dec 17, 2021 | |
| Swati Abbott | Corporate Director | Jan 1, 2020 | |
| Standard Bearer Healthcare Op, LP | Adp of the SNF | Jan 1, 2022 | |
| Khurram Rashid | Managing Control - Governing Body | Sep 26, 2019 | |
| Adp of the SNF | Apr 12, 2025 | ||
| Jose Rodriguez | Operational/Managerial Control | Sep 22, 2022 | |
| Adp of the SNF | Sep 22, 2022 | ||
| Suzanne D Snapper | Corporate Officer | Aug 1, 2009 | |
| Spencer W Burton | Corporate Officer | May 30, 2015 | |
| Hopewell Healthcare, Inc. | 5% Or Greater Direct Ownership Interest | Nov 16, 2015 | 100% |
| Beverly B Wittekind | Corporate Officer | Sep 29, 2008 | |
| Soon Burnam | Corporate Officer | Nov 16, 2015 | |
| Managing Control - Governing Body | 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.
-
- Internal Medicine Physician
- West Columbia, SC
- NPI 1801193529
Adp of the SNF, Managing Control - Governing Body
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Oak View Health and Rehabilitation
- Skilled Nursing Facility
- Conway, SC
- NPI 1851027908
Hopewell Healthcare, Inc.
-
dba Compass Post Acute Rehabilitation
- Skilled Nursing Facility
- Conway, SC
- NPI 1851766711
Hopewell Healthcare, Inc.
-
dba Lila Doyle Post Acute
- Skilled Nursing Facility
- Seneca, SC
- NPI 1346976594
Hopewell Healthcare, Inc.
-
dba Ashley River Healthcare
- Skilled Nursing Facility
- Charleston, SC
- NPI 1619658382
Hopewell Healthcare, Inc.
-
- Skilled Nursing Facility
- Hanahan, SC
- NPI 1114608874
Hopewell Healthcare, Inc.
-
dba Oak Harbor Healthcare
- Skilled Nursing Facility
- Mount Pleasant, SC
- NPI 1316673460
Hopewell Healthcare, Inc.
-
dba Millennium Post Acute Rehabilitation
- Skilled Nursing Facility
- West Columbia, SC
- NPI 1730564964
Hopewell Healthcare, Inc.
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
- South Carolina Episcopal Home at 'Still Hopes' (Still Hopes Episcopal Retirement Community)
- South Carolina Heart Center PA
- South Carolina Homecare, LLC (Home Health Care of South Carolina - Midlands)
- Southeastern Community Development Home Health Care Corporation
- Jewel D Southerland, CRNA
- Southern Dental Associates, LLC
- Southern Urogynecology LLC
- Morgan Sox, PA
- Martin John Spalding, M.D,
- Jimmy Spann
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.