NPIMap

Organization Active NPI

Woodruff Manor

  • Skilled Nursing Facility
  • Woodruff, SC
National Provider Identifier
1437668019
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WOODRUFF MANOR
Doing business as
Woodruff Manor
Practice address
1114 E Georgia Rd
Woodruff, SC 29388
Phone
(864) 476-7092
Fax
(864) 476-0753
NPI assigned
Sep 26, 2017
Last updated
Jun 1, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Kenneth Meike
Title
Chief Financial Officer
Phone
(864) 560-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1114 E Georgia Rd
Woodruff, SC 29388

Mailing address

PO Box 2168
Spartanburg, SC 29304-2168
Phone (864) 560-4304

Other names 1

  • Woodruff Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180315001836 SC Part A Provider - Skilled Nursing Facility 5092077867 Practice locations: Woodruff, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437668019. Details of each certification follow.

Skilled nursing facility certification: CCN 425179

Legal name
WOODRUFF MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 5, 1990
Last certification
Oct 18, 2024
Beds
88
Ownership / control type
Hospital District
Multi-facility organization
Spartanburg Regional Health Service District, INC
Organization structure
OtherNon-profit
Enrollment address
1114 E Georgia Rd
Woodruff, SC 29388-9350
Nursing home name
WOODRUFF MANOR

Care Compare: Nursing home

Medicare Care Compare
Listed as
Woodruff ManorCCN 425179 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Jan 5, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8882.0 residents per day on average
Penalties (3 years)
3Fines totaling $33,602

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
Spartanburg Regional Health Services District Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Christopher Terrell Individual Operational/Managerial Control May 1, 2018
Adp of the SNF Jan 31, 2025
Apella Health Management Inc Organization, Spartanburg, SC Non-profit Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jan 31, 2025
Direct Ownership Interest Jan 1, 2019
Elmer B Holstien Individual Corporate OfficerCeo Aug 1, 2011
Spartanburg Regional Health Services District Inc Organization, Spartanburg, SC Non-profit 5% Or Greater Direct Ownership Interest Sep 29, 2017 100%
Operational/Managerial Control Sep 29, 2017 100%
Kurtis Jon Melin Individual Adp of the SNF Jan 31, 2025
Charles E Morrow Individual Corporate OfficerCoo- Medical Group & Post Acute Dec 4, 2023
Bruce a Davis Individual Corporate OfficerEvp, Cfo Jan 25, 2020

Owners & managing parties with NPI records 3

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

Facilities with the same owner 19

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

View all 19

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": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1437668019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293042168",
            "telephone_number": "864-560-4304",
            "fax_number": "864-569-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 E GEORGIA RD",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "29388",
            "telephone_number": "864-476-7092",
            "fax_number": "864-476-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRUFF MANOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.",
        "enumeration_date": "2017-09-26",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "MEIKE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "864-560-6000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodruff Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodruff Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodruff, SC

Sources for this page

Verify at the official NPI Registry.