NPIMap

Organization Active NPI

NHC Healthcare/Charleston Wo, LLC

  • Skilled Nursing Facility
  • Charleston, SC
National Provider Identifier
1679319941
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NHC HEALTHCARE/CHARLESTON WO, LLC
Practice address
9285 Medical Plaza Dr
Charleston, SC 29406-9126
Phone
(843) 797-8282
NPI assigned
Jul 5, 2024
Last updated
Jul 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Robert Michael Ussery
Title
Manager of LLC
Phone
(615) 890-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

9285 Medical Plaza Dr
Charleston, SC 29406-9126

Mailing address

PO Box 1398
Murfreesboro, TN 37133-1398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250527000385 SC Part A Provider - Skilled Nursing Facility 1052830791 Practice locations: Charleston, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679319941. Details of each certification follow.

Skilled nursing facility certification: CCN 425128

Legal name
NHC HEALTHCARE/CHARLESTON WO LLC
Doing business as
WHITE OAK MANOR-CHARLESTON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 21, 1979
Last certification
Jul 11, 2024
Beds
176
Ownership / control type
Corporation
Multi-facility organization
National Healthcare Corporation
Organization structure
LLCProprietary
Enrollment address
9285 Medical Plaza Dr
Charleston, SC 29406-9126
Nursing home name
WHITE OAK MANOR - CHARLESTON
Affiliated entity
NATIONAL HEALTHCARE CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
White Oak Manor - CharlestonCCN 425128 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 21, 1979
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
176161.2 residents per day on average
Chain
National Healthcare Corporation69 facilities in the chain
Penalties (3 years)
1Fines totaling $8,788

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
42D0885023NHC Healthcare/Charleston Wo, LLC9285 Medical Plaza Drive, North Charleston, SC 29406Certificate of waiverApr 13, 2028

National Provider Directory

National Provider Directory
Part of
National Healthcare Corporation

Member of 2

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

Ownership & related parties

All disclosed owners & managing parties 27

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

NameRoleSinceShare
National Health Corporation Organization, Murfreesboro, TN Corporation Adp of the SNF Aug 1, 2024
Indirect Ownership Interest Aug 1, 2024 7%
James Abernathy Individual Indirect Ownership Interest Aug 1, 2024 0.39%
Sandra Y Trail Individual Indirect Ownership Interest Aug 1, 2024 0.14%
Wendie Follmar Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Ryan Heitkamp Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
William Andrew Adams Individual Indirect Ownership Interest Aug 1, 2024 4.7%
Blackrock Inc Organization, New York, NY Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 12.7%
Indirect Ownership Interest Aug 1, 2024 12.7%
Ben Flatt Individual Indirect Ownership Interest Aug 1, 2024 0.16%
Morgan Stanley Organization, New York, NY Investment firm Adp of the SNF Aug 1, 2024
Indirect Ownership Interest Aug 1, 2024 5.4%
Richard Laroche Individual Indirect Ownership Interest Jan 13, 1998 2.5%
Vanguard Group Inc Organization, Murfreesboro, TN Investment firm 5% Or Greater Indirect Ownership Interest Aug 1, 2024 9.8%
Indirect Ownership Interest Aug 1, 2024 9.8%
Vicki L Dodson Individual Operational/Managerial Control Aug 1, 2024
Managing Control - Governing BodySenior Vice President Jun 1, 2019
Adp of the SNF Aug 1, 2024
Robert G Adams Individual Indirect Ownership Interest Aug 1, 2024 3%
Healthpro Heritage LLC Organization, Greenville, SC LLC Operational/Managerial Control Apr 24, 2017
Stephen Flatt Individual Operational/Managerial Control Aug 1, 2024
Indirect Ownership Interest Aug 1, 2024 99%
Mary Ludlow Individual Adp of the SNF Aug 1, 2024
Morgan Stanley Institutional Advisors LLC Organization, Greenwood Village, CO LLC Adp of the SNF Mar 30, 2026
Indirect Ownership Interest Nov 8, 2024 4.9%
Emil Hassan Individual Indirect Ownership Interest Aug 1, 2024 0.7%
NHC-Op LP Organization, Murfreesboro, TN Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
Direct Ownership Interest Aug 1, 2024 100%
National Healthcare Corporation Organization, Murfreesboro, TN Corporation, Chain home office Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Indirect Ownership Interest Aug 1, 2024 99%
360 Medical Staffing LLC Organization, Tampa, FL Medical staffing company Adp of the SNF Dec 2, 2024
Dimensional Fund Advisors LP Organization, Austin, TX Adp of the SNF Aug 1, 2024
Indirect Ownership Interest Aug 1, 2024 6.1%
Josh a McCreary Individual Indirect Ownership Interest Aug 1, 2024 0.12%
Gregory Forsey Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Change Healthcare Technologies LLC Organization, Dubuque, IA LLC Adp of the SNF Aug 1, 2024
Yvonne J Davis Individual Operational/Managerial Control Aug 1, 2024
Brian Kidd Individual Operational/Managerial Control Aug 1, 2024
Managing Control - Governing BodyChief Financial Officer May 31, 2023
Adp of the SNF Aug 1, 2024

Owners & managing parties with NPI records 23

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

View all 23

Facilities with the same owner 104

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

View all 104

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": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1679319941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1398",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371331398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9285 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069126",
            "telephone_number": "843-797-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHC HEALTHCARE/CHARLESTON WO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL HEALTHCARE CORPORATION",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER OF LLC",
        "authorized_official_telephone_number": "615-890-2020"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.