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Organization Active NPI

Self Regional Healthcare

Doing business as Home Health Services of SRH

  • Home Health Agency
  • Greenwood, SC
National Provider Identifier
1407860778
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA0049 Issued in SC
Legal business name
SELF REGIONAL HEALTHCARE
Doing business as
Home Health Services of SRH
Practice address
105 Vinecrest CT # 400
Greenwood, SC 29646-8031
Phone
(864) 725-7600
Fax
(864) 725-7638
NPI assigned
Jul 29, 2006
Last updated
Dec 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Dr. Matthew T Logan, MD
Title
President and Ceo
Phone
(864) 725-4253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 038 SC
Home Health Agency 251E00000X HHA0049 SC Primary

Addresses

Primary practice location

105 Vinecrest CT # 400
Greenwood, SC 29646-8031

Mailing address

1325 Spring Street
Greenwood, SC 29646
Phone (864) 725-7600

Other identifiers 1

IdentifierTypeStateIssuer
4270181MedicaidSC

Other names 1

  • Home Health Services of SRH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141208002468 SC Part A Provider - Home Health Agency 4082527742 Practice locations: Greenwood, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407860778. Details of each certification follow.

Home health agency certification: CCN 427018

Legal name
SELF REGIONAL HEALTHCARE
Doing business as
HOME HEALTH SERVICES OF SRH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 25, 1980
Last certification
Oct 23, 2020
Ownership / control type
Proprietary
Organization structure
OtherNon-profit
Enrollment address
105 Vine Crest Court
Suite 400
Greenwood, SC 29646

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health Services of Self Regional HealthcareCCN 427018 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 25, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Self Regional Healthcar49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Locations

105 Vinecrest Ct
#400
Greenwood, SC 29646
Phone (864) 725-7600

105 Vinecrest Ct
Ste 400
Greenwood, SC 29646
Phone (864) 229-9000

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Matthew T Logan Individual Corporate OfficerPresident and Ceo Dec 21, 2021
W-2 Managing EmployeePresident and Ceo Dec 21, 2021
Timothy G Evans Individual Corporate OfficerExecutive VP and Cfo Aug 29, 2011
W-2 Managing EmployeeExecutive VP and Cfo Aug 29, 2011
Elizabeth White Individual W-2 Managing Employee Oct 6, 2020

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Self Regional HealthcareGreenwood, SC, CCN 420071 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2025
Abbeville Area Medical CenterAbbeville, SC, CCN 421301 Hospital Operational/Managerial Control (100%) Oct 1, 2023
Edgefield County Healthcare an Affiliate of Self Regional HealthcareEdgefield, SC, CCN 421304 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Self Regional Healthcare PartnersEdgefield, SC, CCN 42Z304 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Abbeville Hospital Swingbed UnitAbbeville, SC, CCN 42Z301 Hospital Operational/Managerial Control (100%) Oct 1, 2023
Abbeville Area Healthcare CenterAbbeville, SC, CCN 423451 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2023
Due West Family MedicineDue West, SC, CCN 423453 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2023
Edgefield Medical CenterEdgefield, SC, CCN 423436 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Family Healthcare North SaludaSaluda, SC, CCN 873806 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 27, 2009
Self Medical Center JohnstonJohnston, SC, CCN 428515 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Practitioners & affiliated clinicians

Affiliated clinicians 102

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 102

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1407860778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SPRING STREET",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29646",
            "telephone_number": "864-725-7600",
            "fax_number": "864-725-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VINECREST CT # 400",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296468031",
            "telephone_number": "864-725-7600",
            "fax_number": "864-725-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF REGIONAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "864-725-4253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "038",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA0049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4270181",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health Services of SRH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Health Services of SRH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.