Organization Active NPI

Spring Street Senior Housing Opco, LLC

  • Assisted Living Facility
  • Charleston, SC
National Provider Identifier
1396499224
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SPRING STREET SENIOR HOUSING OPCO, LLC
Doing business as
Spring Street Health Center
Practice address
194 Spring Street
Charleston, SC 29403
Phone
(843) 754-6940
Fax
(943) 865-8123
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Joseph V Calcutt
Title
Cfo
Phone
(910) 815-3122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Skilled Nursing Facility 314000000X

Addresses

Primary practice location

194 Spring Street
Charleston, SC 29403

Mailing address

44 McNeill PLZ
Whiteville, NC 28472-8602
Phone (910) 642-0224

Other names 1

  • Spring Street Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220817002910 SC Part A Provider - Skilled Nursing Facility 9638552011 Practice locations: Charleston, SC

Skilled nursing facility certification: CCN 425418

Legal name
SPRING STREET SENIOR HOUSING OPCO, LLC
Doing business as
KEMPTON OF CHARLESTON
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Oct 6, 2022
Last certification
May 6, 2025
Beds
23
Ownership / control type
Corporation
Multi-facility organization
LIBERTY SENIOR LIVING
Organization structure
LLCProprietary
Enrollment address
194 Spring St
Charleston, SC 29403-5556
Nursing home name
KEMPTON OF CHARLESTON

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kempton Of CharlestonCCN 425418 · 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
Ownership
For profit - Corporation
Certified
Oct 6, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2320.3 residents per day on average
Penalties (3 years)
1Fines totaling $6,032

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
42D2249226Kempton of Charleston194 Spring Street, Charleston, SC 29403Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Karep V Senior Housing Reoc JV LLC Organization, Boca Raton, FL LLC Other Mar 11, 2022 100%
Karep V SL Reit, LLC Organization, Los Angeles, CA LLC Other Mar 11, 2022 89.1%
Spring Street Senior Housing JV Opco, LLC Organization, Boca Raton, FL Created for acquisition, LLC 5% Or Greater Direct Ownership Interest May 4, 2020 100%
Operational/Managerial Control May 4, 2020 100%
Albert Rabil Individual Corporate OfficerPresident May 4, 2020
John Wain Individual Corporate OfficerVice President/Treasurer May 4, 2020
Liberty Development of Charleston, LLC Organization, Wilmington, NC LLC Other Mar 11, 2022 5%
Kayne Anderson Real Estate Partners V LP (Karep V) Organization, Los Angeles, CA Other May 4, 2020 100%
Liberty Southern CSL, LLC Organization, Wilmington, NC LLC Other May 4, 2020 5%
Senior Housing Intervening Company V LLC Organization, Boca Raton, FL LLC Other May 4, 2020 90%
Russell Reiter Individual Corporate OfficerSecretary May 4, 2020
David Sydney Selznick Individual Corporate OfficerVice President May 4, 2020
Lindsay French Individual Operational/Managerial ControlAdministrator Mar 1, 2022 100%
Penny T. Purifoy Individual Corporate DirectorDirector of Receivables Mar 11, 2022
W-2 Managing EmployeeDirector of Receivables MGMT, LTC Mar 11, 2022
Matthew L Bork Individual Corporate OfficerVice President May 4, 2020 100%
Kayne Anderson Real Estate Partners V Parallel Fund LP Organization, Los Angeles, CA Other May 4, 2020 100%
William B Purvis Individual Corporate OfficerPresident May 4, 2020
Operational/Managerial ControlManager of Liberty Development May 4, 2020
Karep V Parallel SL Reit LLC Organization, Los Angeles, CA LLC Other May 4, 2020 10.9%

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": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1396499224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MCNEILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728602",
            "telephone_number": "910-642-0224",
            "fax_number": "910-642-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 SPRING STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29403",
            "telephone_number": "843-754-6940",
            "fax_number": "943-865-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING STREET SENIOR HOUSING OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "CALCUTT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-815-3122"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Street Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.