Active NPI
Litchfield Retirement, LLC
- Skilled Nursing Facility
- Pawley's Island, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NCF-843
- Legal business name
- LITCHFIELD RETIREMENT, LLC
- Practice address
- 120 Lakes at Litchfield Dr
Pawleys Island, SC 29585-5502 - Phone
- (843) 235-9393
- Fax
- (843) 235-9696
- NPI assigned
- Oct 26, 2006
- Last updated
- May 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nancy McKinstry
- Title
- Administrator
- Phone
- (843) 235-9393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NCF-843 | SC | Primary |
Addresses
Primary practice location
120 Lakes at Litchfield Dr
Pawleys Island, SC 29585-5502
Mailing address
120 Lakes at Litchfield Dr
Pawleys Island, SC 29585-5515
Phone (843) 235-9393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030414000004 | SC | Part A Provider - Skilled Nursing Facility | 4688583693 | Practice locations: Pawleys Island, SC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1548345481. Details of each certification follow.
Skilled nursing facility certification: CCN 425380
- Legal name
- LITCHFIELD RETIREMENT, LLC
- Doing business as
- LAKES AT LITCHFIELD
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 5, 2003
- Last certification
- Mar 11, 2025
- Beds
- 24
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Maywell Group LLC
- Organization structure
- LLC
- Incorporated
- Nov 27, 1996 in SC
- Enrollment address
- 120 Lakes at Litchfield Dr
Pawleys Island, SC 29585-9001 - Nursing home name
- LAKES AT LITCHFIELD
- Affiliated entity
- SENIOR LIVING COMMUNITIES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lakes At Litchfield
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 5, 2003
- Medicare certification status
- Active
- Certified beds
- 24
- Chain
- Senior Living Communities
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0985314 | Lakes at Litchfield | Certificate of waiver | Apr 12, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Lakes at Litchfield Home Health Agency
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Live Long WellCare of Litchfield
- Home Health Agency
- Pawley's Island, SC
- NPI 1154623767
-
dba Lakes at Litchfield Home Health Agency
- Home Health Agency
- Pawley's Island, SC
- NPI 1386802296
Locations
120 Litchfield Dr
Pawleys Island, SC 29585
Phone (843) 237-0343
Ownership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Dec 1, 2014 | ||
| Joseph Mason | Adp of the SNF | Oct 2, 2025 | |
| Benjamin M. Thompson | 5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 25% |
| Corporate Officer | Jul 1, 2022 | ||
| Operational/Managerial Control | Jul 1, 2022 | ||
| Joshua E. Thompson | 5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 25% |
| Donald Thompson | 5% Or Greater Indirect Ownership Interest | Dec 6, 2005 | 50% |
| Corporate Director | Nov 1, 2005 | ||
| Managing Control - Governing Body | Nov 1, 2005 | ||
| Brenda U. Thompson 2020 Irrevocable Trust Dated December 30, 2020 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 25% |
| Senior Living Commuities LLC | 5% Or Greater Direct Ownership Interest | Dec 6, 2005 | 100% |
| Christopher B Zakhary | Adp of the SNF | Oct 2, 2025 | |
| Brenda U. Thompson 2020 Irrevocable Trust Dated December 30, 2020 | 5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 25% |
| Maxwell Group, Inc. | Operational/Managerial Control | Dec 6, 2005 | |
| Adp of the SNF | Jan 31, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Myrtle Beach, SC
- NPI 1104168863
Adp of the SNF
Facilities with the same owner 10
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Myrtle Beach, SC
- NPI 1407090434
Maxwell Group, Inc., Senior Living Commuities LLC
-
- Skilled Nursing Facility
- Greenville, SC
- NPI 1093967218
Maxwell Group, Inc., Senior Living Commuities LLC
-
- Skilled Nursing Facility
- Spartanburg, SC
- NPI 1760515621
Maxwell Group, Inc., Senior Living Commuities LLC
-
dba Evergreen Woods
- Skilled Nursing Facility
- North Branford, CT
- NPI 1508317223
Maxwell Group, Inc., Senior Living Commuities LLC
-
dba Homestead Hills
- Skilled Nursing Facility
- Winston Salem, NC
- NPI 1063759397
Maxwell Group, Inc., Senior Living Commuities LLC
-
dba Marsh's Edge
- Assisted Living Facility
- St Simons Island, GA
- NPI 1568631521
Maxwell Group, Inc., Senior Living Commuities LLC
-
dba The Retreat at The Stratford
- Skilled Nursing Facility
- Carmel, IN
- NPI 1053619841
Maxwell Group, Inc.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Pawley's Island, SC
- NPI 1922559152
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Myrtle Beach, SC
- NPI 1104168863
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211068800000",
"number": "1548345481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 LAKES AT LITCHFIELD DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295855515",
"telephone_number": "843-235-9393",
"fax_number": "843-235-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 LAKES AT LITCHFIELD DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295855502",
"telephone_number": "843-235-9393",
"fax_number": "843-235-9696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITCHFIELD RETIREMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2008-05-18",
"status": "A",
"authorized_official_last_name": "MCKINSTRY",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "843-235-9393",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "SC",
"license": "NCF-843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawley's Island, SC
- Tarah Bryanne Lewis, DNP
- Lincare Inc.
- Litchfield Medical Center PC
- Litchfield Reitrement, LLC (Live Long WellCare of Litchfield)
- Litchfield Retirement, LLC (Lakes at Litchfield Home Health Agency)
- Ashley Litchfield, BC-HIS
- Kent Bryce Loader Jr., M.D.
- Low Country Pain & Spine
- Lowcountry Vision Care, LLC
- Mary Machowski, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.