Organization Active NPI

Cheraw Healthcare Inc

  • Skilled Nursing Facility
  • Cheraw, SC
National Provider Identifier
1801895685
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF602 Issued in SC
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

Updated by the provider on Jun 26, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0602NHMedicaidSC

Other names 1

  • Cheraw Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HealthcareCCN 425005
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 6, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120112.8 residents per day on average
Penalties (3 years)
1Fines totaling $14,901

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Paige S Welch Individual 5% Or Greater Direct Ownership Interest May 9, 2008 15%
Joel W Dyson Individual Corporate Director May 9, 2008
W-2 Managing Employee May 9, 2008
Mildred Welch Individual 5% Or Greater Direct Ownership Interest May 9, 2008 30%
Corporate Director May 9, 2008 30%
Temple Dyson Individual 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

Sources for this page

Verify at the official NPI Registry.