NPIMap

Organization Active NPI

Roper St Francis Ancillary Services

Doing business as Roper St. Francis Home Health

  • Home Health Agency
  • Ladson, SC
National Provider Identifier
1619947140
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA-062 Issued in SC
Legal business name
ROPER ST FRANCIS ANCILLARY SERVICES
Doing business as
Roper St. Francis Home Health
Practice address
8536 Palmetto Commerce Pkwy Ste 207a
Ladson, SC 29456-6700
Phone
(843) 402-7000
Fax
(843) 769-6205
NPI assigned
Jan 26, 2006
Last updated
Dec 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Kimberly M Ralston
Title
System Director
Phone
(419) 996-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA-062 SC Primary

Addresses

Primary practice location

8536 Palmetto Commerce Pkwy Ste 207a
Ladson, SC 29456-6700

Mailing address

8536 Palmetto Commerce Pkwy Ste 207a
Ladson, SC 29456-6700
Phone (843) 402-7000

Other identifiers 1

IdentifierTypeStateIssuer
470421MedicaidSC

Other names 1

  • Roper St. Francis Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000822 SC Part A Provider - Home Health Agency 8426958919 Practice locations: Charleston, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619947140. Details of each certification follow.

Home health agency certification: CCN 427042

Legal name
ROPER HOSPITAL INC
Doing business as
ROPER ST. FRANCIS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 12, 1988
Last certification
Jul 31, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationProprietary
Incorporated
May 5, 1986 in SC
Enrollment address
1483 Tobias Gadson Blvd
Ste 208
Charleston, SC 29407-4796

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Roper-St. Francis Home HealthCCN 427042 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Feb 12, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Chas Thoracic Cardiovas26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Russell H Louis Individual Corporate DirectorBoard Member Jul 1, 2018
Anna NW O'Quinn Individual Corporate Director Jun 26, 2014
Matthew H Desmond Individual Corporate OfficerCeo & Secretary Jan 1, 2022
W-2 Managing EmployeeVP Jan 1, 2022
Amelia M Joseph Individual Corporate DirectorBoard Member Jul 1, 2016
Jeffrey P Dilisi Individual Corporate Director Jan 1, 2020
Bon Secours Mercy Health Inc Organization, Marriottsville, MD Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2020 51%
Lynne L Kerrison Individual Corporate DirectorBoard Member Jul 1, 2016
James T Buxton Individual Corporate Director Jun 26, 2014
Adriana Day Individual Corporate Director Jun 7, 2021
W-2 Managing EmployeeSVP & Cfo Jun 7, 2021
Jairy C Hunter Individual Corporate DirectorBoard Member Jul 1, 2018
Paul Lawrence Stoney Individual Corporate Director May 22, 2013
Roper St. Francis Healthcare Organization, Charleston, SC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 31, 1998 100%
John Albert Mitchell Individual Corporate DirectorBoard Member, Ex-Officio Mar 6, 2018
Scott Latimer Woodfield Individual Corporate DirectorBoard Member Jul 1, 2018
Clary E Rawl Individual Corporate DirectorBoard Member Jul 1, 2018
Healthspan Partners Organization, Cincinnati, OH Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2020 51%
Donald J Davis Jr Individual Corporate DirectorBoard Member Jul 1, 2016
Medical Society of S.C. Organization, Charleston, SC Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 31, 1998 49%

Owners & managing parties with NPI records 3

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

Facilities with the same owner 101

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

View all 101

Practitioners & affiliated clinicians

Affiliated clinicians 227

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 227

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1619947140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8536 PALMETTO COMMERCE PKWY STE 207A",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294566700",
            "telephone_number": "843-402-7000",
            "fax_number": "843-769-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8536 PALMETTO COMMERCE PKWY STE 207A",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294566700",
            "telephone_number": "843-402-7000",
            "fax_number": "843-769-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROPER ST FRANCIS ANCILLARY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "HHA-062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470421",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roper St. Francis Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roper St. Francis Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ladson, SC

Sources for this page

Verify at the official NPI Registry.