Organization Active NPI

SC Opco LLC

Doing business as Ridgeland Nursing and Rehab Center

  • Skilled Nursing Facility
  • Ridgeland, SC
National Provider Identifier
1619644648
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SC OPCO LLC
Doing business as
Ridgeland Nursing and Rehab Center
Practice address
1516 Grays Hwy
Ridgeland, SC 29936-5440
Phone
(843) 726-5581
Fax
(843) 726-3741
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Josef Neuman
Title
Authorized Signatory
Phone
(843) 726-5581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1516 Grays Hwy
Ridgeland, SC 29936-5440

Mailing address

1516 Grays Hwy
Ridgeland, SC 29936-5440
Phone (843) 726-5581

Other names 1

  • Ridgeland Nursing and Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220303000532 SC Part A Provider - Skilled Nursing Facility 2567856883 Practice locations: Ridgeland, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619644648. Details of each certification follow.

Skilled nursing facility certification: CCN 425132

Legal name
SC OPCO LLC
Doing business as
RIDGELAND NURSING AND REHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 17, 1979
Last certification
Mar 22, 2024
Beds
88
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Vered Health Group
Organization structure
LLCProprietary
Incorporated
May 11, 2021 in NJ
Enrollment address
1516 Grays Hwy
Ridgeland, SC 29936-5440
Nursing home name
RIDGELAND NURSING CENTER INC
Affiliated entity
ELIYAHU MIRLIS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ridgeland Nursing Center IncCCN 425132 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 17, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8884.3 residents per day on average
Chain
Eliyahu Mirlis13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
SC Opco Holdco LLC Organization, Edison, NJ LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 81%
Sheri Boyles Individual W-2 Managing EmployeeFacility Admin Nov 1, 2021 100%
Josef Neuman Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2021 19%
Operational/Managerial ControlAuthorized Signatory Nov 1, 2021
Eliyahu Mirlis Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2021 75.94%
Shore Health Management Trust Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Nov 1, 2021 19%
Ridgeview Operations Holdings LLC Organization, Edison, NJ LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1619644648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 GRAYS HWY",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299365440",
            "telephone_number": "843-726-5581",
            "fax_number": "843-726-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 GRAYS HWY",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299365440",
            "telephone_number": "843-726-5581",
            "fax_number": "843-726-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "843-726-5581"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeland Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, SC

Sources for this page

Verify at the official NPI Registry.