Organization Active NPI

515 Warley Opco LLC

Doing business as Heritage Post Acute

  • Skilled Nursing Facility
  • Florence, SC
National Provider Identifier
1609698042
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
515 WARLEY OPCO LLC
Doing business as
Heritage Post Acute
Practice address
515 Warley St
Florence, SC 29501-5132
Phone
(834) 310-3131
NPI assigned
Oct 28, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Rocio Andrade
Title
Manager
Phone
(843) 310-3131

Specialties & licenses 1

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

Addresses

Primary practice location

515 Warley St
Florence, SC 29501-5132

Mailing address

8484 Wilshire Blvd
Suite 820
Beverly Hills, CA 90211

Other identifiers 1

IdentifierTypeStateIssuer
0450NHMedicaidSC

Other names 1

  • Heritage Post Acute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250916004562 SC Part A Provider - Skilled Nursing Facility 7113421827 Practice locations: Florence, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609698042. Details of each certification follow.

Skilled nursing facility certification: CCN 425154

Legal name
515 WARLEY OPCO LLC
Doing business as
HERITAGE POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 21, 1986
Last certification
Oct 10, 2024
Beds
132
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
515 Warley St
Florence, SC 29501-5199
Nursing home name
HERITAGE POST ACUTE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage Post AcuteCCN 425154 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 21, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
132127.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
42D2321617Heritage Post Acute515 Warley St, Florence, SC 29501Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

Locations

8484 Wilshire Blvd
Ste 820
Beverly Hills, CA 90211

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
Robert L Elder Individual Adp of the SNF Sep 23, 2025
Avrohom Kolodny Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Direct Ownership Interest Oct 1, 2024 75%
Kelly Pruitt Individual Adp of the SNF Sep 23, 2025
Joel W Dyson Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Direct Ownership Interest Oct 1, 2024 10%
Rocio Andrade Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Direct Ownership Interest Oct 1, 2024 20%

Owners & managing parties with NPI records 1

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

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": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1609698042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD",
            "address_2": "SUITE 820",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WARLEY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015132",
            "telephone_number": "834-310-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "515 WARLEY OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-310-3131"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450NH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.