NPIMap

Organization Active NPI

St Andrews Operator LLC

Doing business as St. Andrews Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Columbia, SC
National Provider Identifier
1457102634
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST ANDREWS OPERATOR LLC
Doing business as
St. Andrews Nursing and Rehabilitation Center
Practice address
3514 Sidney Road
Columbia, SC 29210-4437
Phone
(803) 798-9715
NPI assigned
Mar 27, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Tevi Alter
Title
Ceo
Phone
(908) 506-4204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

3514 Sidney Road
Columbia, SC 29210-4437

Mailing address

211 Blvd of the Americas
Suite 500
Lakewood, NJ 08701-4775
Phone (908) 506-4204

Other names 1

  • St. Andrews Nursing and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250214000582 SC Part A Provider - Skilled Nursing Facility 5890224034 Practice locations: Columbia, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457102634. Details of each certification follow.

Skilled nursing facility certification: CCN 425129

Legal name
ST ANDREWS OPERATOR LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 23, 1979
Last certification
Jan 24, 2024
Beds
108
Ownership / control type
Individual
Organization structure
LLCProprietary
Enrollment address
3514 Sidney Rd
Columbia, SC 29210-4437
Nursing home name
ST ANDREWS OPERATOR, LLC
Affiliated entity
YAD HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Andrews Operator, LLCCCN 425129 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
May 23, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10886.0 residents per day on average
Chain
Yad Healthcare13 facilities in the chain
Penalties (3 years)
3Fines totaling $52,910

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Wayne Blum Individual Operational/Managerial Control Jun 1, 2024
Tzvi Alter Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2024 100%
St Andrews Holdings LLC Organization, Roanoke, VA LLC 5% Or Greater Direct Ownership Interest Jun 1, 2024 100%
West NC Holdings LLC Organization, Lakewood, NJ LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2024
Pradeep Patel Individual Operational/Managerial Control Jan 1, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 4

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": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1457102634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BLVD OF THE AMERICAS",
            "address_2": "SUITE 500",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014775",
            "telephone_number": "908-506-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 SIDNEY ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104437",
            "telephone_number": "803-798-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANDREWS OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-06-26",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "TEVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-506-4204"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Andrews Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.