Organization Active NPI

Regency Hospital Company of South Carolina, LLC

  • Long Term Care Hospital
  • Florence, SC
National Provider Identifier
1487656294
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
HTL-824 Issued in SC
Legal business name
REGENCY HOSPITAL COMPANY OF SOUTH CAROLINA, LLC
Practice address
121 E Cedar St
4TH and 5TH Floor
Florence, SC 29504
Phone
(843) 661-3499
Fax
(843) 661-3401
NPI assigned
Aug 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Mr. John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X HTL-824 SC Primary

Addresses

Primary practice location

121 E Cedar St
4TH and 5TH Floor
Florence, SC 29504

Mailing address

4714 Gettysburg Rd
Legal Dept
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other identifiers 1

IdentifierTypeStateIssuer
11067AMedicaidSC

Other names 1

  • Regency Hospital of Florence Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040930000578 SC Part A Provider - Hospital 4981673415 Practice locations: Florence, SC
O20091221000619 SC Part B Supplier - Clinic/Group Practice 4981673415 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Florence, SC

Hospital certification: CCN 422007

Legal name
REGENCY HOSPITAL COMPANY OF SOUTH CAROLINA, LLC
Doing business as
REGENCY HOSPITAL OF FLORENCE
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Feb 1, 2002
Last certification
Jul 11, 2019
Beds
40
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
May 8, 2001 in DE
Enrollment address
805 Pamplico Highway
2ND and 3Rd Floors
Florence, SC 29504-6047
Main/Primary Hospital Location
Hospital subgroups
Acute care, Long-term

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Regency Hospital of FlorenceCCN 422007
Ownership
For profit
Certified
Feb 1, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Beds
40

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
42D0996279Regency Hospital Company of South Carolina, LLC805 Pamplico Highway, Florence, SC 29504AccreditationJul 12, 2028

National Provider Directory

National Provider Directory

Locations

805 Pamplico Hwy
Fl 23
Florence, SC 29505
Phone (843) 674-6200

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Jordan Burns Individual Corporate OfficerCeo Jan 25, 2025
W-2 Managing EmployeeAd; Jan 25, 2025
Operational/Managerial ControlCeo Jan 25, 2025
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2010 100%
Operational/Managerial Control Sep 1, 2010 100%
Thomas Mullin Individual Corporate Officer Sep 4, 2025
Intensiva Healthcare Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2010 100%
Regency Hospital Company, LLC Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2010 100%
John Saich Individual Corporate Officer Sep 4, 2025
Regency Hospitals LLC Organization, Mechanicsburg, PA LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2010 100%
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 4, 2025
Michael Malatesta Individual Corporate Officer Apr 9, 2025
Robert Kido Individual Corporate Officer Sep 4, 2025
John Duggan Individual Corporate Officer Sep 1, 2010
Corporate Director Sep 4, 2025

Facilities with the same owner 129

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

View all 129

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 11

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": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1487656294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E CEDAR ST",
            "address_2": "4TH AND 5TH FLOOR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29504",
            "telephone_number": "843-661-3499",
            "fax_number": "843-661-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HOSPITAL COMPANY OF SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "SC",
            "license": "HTL-824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11067A",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Hospital of Florence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.