NPIMap

Organization Active NPI

Orange Grove Healthcare, Inc.

Doing business as Ashley River Healthcare

  • Skilled Nursing Facility
  • Charleston, SC
National Provider Identifier
1619658382
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ORANGE GROVE HEALTHCARE, INC.
Doing business as
Ashley River Healthcare
Practice address
1137 Sam Rittenberg Blvd
Charleston, SC 29407-3360
Phone
(843) 763-0233
NPI assigned
Jul 26, 2023
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(495) 401-2499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1137 Sam Rittenberg Blvd
Charleston, SC 29407-3360

Mailing address

1137 Sam Rittenberg Blvd
Charleston, SC 29407-3360

Other names 1

  • Ashley River Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240404001955 SC Part A Provider - Skilled Nursing Facility 1759729171 Practice locations: Charleston, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619658382. Details of each certification follow.

Skilled nursing facility certification: CCN 425362

Legal name
ORANGE GROVE HEALTHCARE INC
Doing business as
ASHLEY RIVER HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 5, 1999
Last certification
Apr 10, 2025
Beds
125
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Enrollment address
1137 Sam Rittenberg Blvd
Charleston, SC 29407-3360
Nursing home name
ASHLEY RIVER HEALTHCARE
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ashley River HealthcareCCN 425362 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 5, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
125102.6 residents per day on average
Chain
The Ensign Group342 facilities in the chain
Penalties (3 years)
2Fines totaling $46,164

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
42D0250774Ashley River Healthcare1137 Sam Rittenburg Blvd, Charleston, SC 29407Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

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
Onshift Inc Organization, Cleveland, OH Corporation Operational/Managerial Control Sep 1, 2023
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Jul 26, 2023 100%
Ensign Services Inc Organization, San Juan Capistrano, CA Corporation Adp of the SNF Jul 26, 2023
Forrest Peterson Individual Corporate DirectorDirector Orange Grove Healthcare Jan 1, 2024
Ami Sato Individual Corporate OfficerTreasurer Orange Grove Healthcare Sep 9, 2024
Yaribey Pabon Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyAdministrator Sep 1, 2023
Adp of the SNF Sep 1, 2023
Brent Thatcher Individual Corporate OfficerPresident Orange Grove Healthcare Jul 26, 2023
Chad Keetch Individual Corporate OfficerSecretary Ensign Services, Inc. Mar 1, 2011
Frank J Newlands Individual Operational/Managerial Control Aug 5, 2024
Managing Control - Governing BodyMedical Director Aug 5, 2024
Adp of the SNF Aug 5, 2024
Hopewell Healthcare, Inc. Organization, San Juan Capistrano, CA LLC 5% Or Greater Direct Ownership Interest Jul 26, 2023 100%
Soon Burnam Individual Corporate OfficerSecretary Orange Grove Healthcare Jul 26, 2023

Owners & managing parties with NPI records 1

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

  • Frank J. Newlands, MD
    • Internal Medicine Physician
    • Greenville, SC
    • NPI 1770552895

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 23

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

View all 23

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": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1619658382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073360",
            "telephone_number": "843-763-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE GROVE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "495-401-2499"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley River Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.