Active NPI
SC Opco LLC
Doing business as Ridgeland Nursing and Rehab Center
- Skilled Nursing Facility
- Ridgeland, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2021
- 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
- Josef Neuman
- Title
- Authorized Signatory
- Phone
- (843) 726-5581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 17, 1979
- Medicare certification status
- Active
- Certified beds
- 88
- Chain
- Eliyahu Mirlis
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| SC Opco Holdco LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 81% |
| Sheri Boyles | W-2 Managing Employee | Nov 1, 2021 | 100% |
| Josef Neuman | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 19% |
| Operational/Managerial Control | Nov 1, 2021 | ||
| Eliyahu Mirlis | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 75.94% |
| Shore Health Management Trust | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 19% |
| Ridgeview Operations Holdings LLC | 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.
-
dba Pine View Nursing and Rehab Center
- Skilled Nursing Facility
- Sylvania, GA
- NPI 1174290100
Shore Health Management Trust
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.