Senior Care of Marion LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SC-17-60 Issued in SC

Legal business name

SENIOR CARE OF MARION LLC

Practice address

2770 S Highway 501
Marion, SC 29571-7854

Phone

(855) 573-8466

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Kathryn Griffin

Title

Ceo

Phone

(855) 573-8466

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Skilled nursing facility certification: CCN 425416

Legal name

SENIOR CARE OF MARION LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 10, 2019

Last certification

Jun 7, 2024

Beds

90

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jul 1, 2017 in SC

Enrollment address

2770 S Highway 501
Marion, SC 29571-7854

Nursing home name

SENIOR CARE OF MARION

Listed as

Senior Care of MarionCCN 425416

Overall star rating

2 of 5

Health inspections

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 10, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

90

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

2Fines totaling $19,149

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 2

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

• Kenneth A Santiago, MD

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1801878186

  Adp of the SNF

  CMS ownership
• James Haywood Smith Jr., M.D.

  • Neurological Surgery Physician
  • Myrtle Beach, SC
  • NPI 1750676524

  5% Or Greater Direct Ownership Interest, 5% Or Greater Mortgage Interest, Adp of the SNF, Direct Ownership Interest, Trustee of the SNF

  CMS ownership

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Peter Busse, M.D.

  • Family Medicine Physician
  • Conway, SC
  • NPI 1477590594
  Medicare reassignment NPD
• Carol Minnette Gibbs, MD

  • Psychiatry Physician
  • Durham, NC
  • NPI 1174606917

  SC

  Medicare reassignment NPD
• James Haywood Smith Jr., M.D.

  • Neurological Surgery Physician
  • Myrtle Beach, SC
  • NPI 1750676524
  NPD
• Kenneth A Santiago, MD

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1801878186
  NPD (past)

Affiliated clinicians 1

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

• Kenneth A Santiago, MD

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1801878186

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1639680572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87042",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 S HIGHWAY 501",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295717854",
            "telephone_number": "855-573-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE OF MARION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-573-8466"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "SC-17-60",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CON",
            "identifier": "SC-17-60",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jo A Schneider, CCC-SLP
• Karen Scruggs
• Darren Sealey, D.C
• William Henry Seals III, DMD
• Charity Denise Self
• Senior Care Opco LLC
• Serenity Life Home Care Agency LLC
• Cedrick K Sheem
• Debbie H Simmons, RPH
• Sleepmed, Inc

• Skilled Nursing Facility in Marion, SC
• Providers in Marion, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.

Verify at the official NPI Registry.