NPIMap

Organization Active NPI

Kingston Falls Healthcare LLC

  • Skilled Nursing Facility
  • Seneca, SC
National Provider Identifier
1346976594
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KINGSTON FALLS HEALTHCARE LLC
Practice address
101 Lila Doyle Dr
Seneca, SC 29672-9495
Phone
(864) 885-7586
Fax
(864) 885-7688
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

101 Lila Doyle Dr
Seneca, SC 29672-9495

Mailing address

101 Lila Doyle Dr
Seneca, SC 29672-9495
Phone (864) 885-7586

Other names 1

  • Lila Doyle Post Acute Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0NhinService/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
O20230103003038 SC Part A Provider - Skilled Nursing Facility 3274903414 Practice locations: Seneca, SC

Skilled nursing facility certification: CCN 425075

Legal name
KINGSTON FALLS HEALTHCARE LLC
Doing business as
LILA DOYLE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1971
Last certification
Mar 27, 2025
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Ensign Services Group
Organization structure
LLCProprietary
Incorporated
Jul 14, 2022 in NV
Enrollment address
101 Lila Doyle Dr
Seneca, SC 29672-9495
Nursing home name
LILA DOYLE POST ACUTE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lila Doyle Post AcuteCCN 425075
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1971
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12093.5 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
2Fines totaling $22,838

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Standard Bearer Healthcare Op LP Organization, San Juan Capistrano, CA Adp of the SNF Nov 1, 2022
Stephen L Smith Individual Managing Control - Governing BodyMedical Director Nov 28, 2023
Adp of the SNF Apr 9, 2025
Hartwell Health Holdings LLC Organization, San Juan Capistrano, CA LLC, For-profit Adp of the SNF Nov 1, 2022
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 14, 2022 100%
Adp of the SNF Nov 1, 2022
Forrest Peterson Individual Corporate OfficerHopewell President, Kingston MGR Nov 1, 2022
Ami Sato Individual Corporate OfficerTreasurer Kingston Falls Healthcare Sep 9, 2024
Brent Thatcher Individual Corporate OfficerPresident Kingston Falls Healthcare Nov 1, 2022
Operational/Managerial ControlExecutive Director Nov 1, 2022 100%
Managing Control - Governing BodyAdministrator Nov 1, 2022
Adp of the SNF Apr 9, 2025
Hopewell Healthcare, Inc. Organization, San Juan Capistrano, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2023 100%
Soon Burnam Individual Corporate OfficerSecretary Kingston Falls Healthcare Nov 1, 2022

Owners & managing parties with NPI records 1

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

  • Stephen Smith
    • Family Medicine Physician
    • Society Hill, SC
    • NPI 1255444386

    Adp of the SNF, Managing Control - Governing Body

    CMS ownership

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 3

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": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1346976594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LILA DOYLE DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729495",
            "telephone_number": "864-885-7586",
            "fax_number": "864-885-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LILA DOYLE DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729495",
            "telephone_number": "864-885-7586",
            "fax_number": "864-885-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSTON FALLS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "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_0NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "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": "Lila Doyle Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.