Active NPI
Cheraw Healthcare Inc
- Skilled Nursing Facility
- Cheraw, SC
National Provider Identifier
1801895685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NCF602
- Legal business name
- CHERAW HEALTHCARE INC
- Practice address
- 400 Moffat Road
Cheraw, SC 29520 - Phone
- (843) 537-5253
- Fax
- (843) 537-4014
- NPI assigned
- Jul 14, 2005
- 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
- Joel Dyson
- Title
- Administrator VP
- Phone
- (843) 537-5253
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NCF602 | SC | Primary |
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
400 Moffat Road
Cheraw, SC 29520
Mailing address
PO Box 967
Cheraw, SC 29520-0967
Phone (843) 537-5253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0602NH | Medicaid | SC |
Other names 1
- Cheraw Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090205000303 | SC | Part A Provider - Skilled Nursing Facility | 6406910421 | Practice locations: Cheraw, SC |
Skilled nursing facility certification: CCN 425005
- Legal name
- CHERAW HEALTHCARE INC
- Doing business as
- CHERAW HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 6, 1967
- Last certification
- Nov 15, 2024
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- SNF Health
- Organization structure
- Corporation
- Incorporated
- Jan 22, 1993 in SC
- Enrollment address
- 400 Moffat Road
Cheraw, SC 29520-3048
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cheraw Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 6, 1967
- Medicare certification status
- Active
- Certified beds
- 120
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Paige S Welch | 5% Or Greater Direct Ownership Interest | May 9, 2008 | 15% |
| Joel W Dyson | Corporate Director | May 9, 2008 | |
| W-2 Managing Employee | May 9, 2008 | ||
| Mildred Welch | 5% Or Greater Direct Ownership Interest | May 9, 2008 | 30% |
| Corporate Director | May 9, 2008 | 30% | |
| Temple Dyson | 5% Or Greater Direct Ownership Interest | May 9, 2008 | 15% |
| Corporate Director | May 9, 2008 | 15% | |
| W-2 Managing Employee | May 9, 2008 | 15% |
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": "1121299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1801895685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 967",
"city": "CHERAW",
"state": "SC",
"postal_code": "295200967",
"telephone_number": "843-537-5253",
"fax_number": "843-537-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MOFFAT ROAD",
"city": "CHERAW",
"state": "SC",
"postal_code": "29520",
"telephone_number": "843-537-5253",
"fax_number": "843-537-4014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERAW HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-14",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "DYSON",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "ADMINISTRATOR VP",
"authorized_official_telephone_number": "843-537-5253"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "SC",
"license": "NCF602",
"primary": true
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0602NH",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cheraw Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cheraw, SC
- Cheraw Behavioral Health Inc
- Cheraw Family Dentistry
- Cheraw Family Medicine
- Cheraw Foot Center PC
- Cheraw General Practice & Orthopedics LLC
- Cheraw Pediatrics, P.a.
- Cheraw Physical Therapy & Rehabilitation Center LLC.
- Cheraw Physicians Group LLC
- Martin Luther Sherley Cherenfant, DO
- Chesterfield Clinic Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.