NPIMap

Organization Active NPI

Rolling Green Village

  • Skilled Nursing Facility
  • Greenville, SC
National Provider Identifier
1851375893
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF-456 Issued in SC
Legal business name
ROLLING GREEN VILLAGE
Practice address
1 Hoke Smith Blvd
Greenville, SC 29615-5308
Phone
(864) 987-9800
Fax
(864) 297-0241
NPI assigned
Dec 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Daniel Brennan
Title
Board Chair
Phone
(864) 349-4801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCF-456 SC Primary

Addresses

Primary practice location

1 Hoke Smith Blvd
Greenville, SC 29615-5308

Mailing address

1 Hoke Smith Blvd
Greenville, SC 29615-5308
Phone (864) 987-9800

Other names 1

  • Rolling Green Village Health Care Facility Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000662 SC Part A Provider - Skilled Nursing Facility 2365617552 Practice locations: Greenville, SC

Skilled nursing facility certification: CCN 425160

Legal name
ROLLING GREEN VILLAGE
Doing business as
ROLLING GREEN VILLAGE HEALTH CARE FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Dec 12, 1986
Last certification
May 16, 2025
Beds
22
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 5, 1977 in SC
Enrollment address
1 Hoke Smith Blvd
Greenville, SC 29615-5308
Nursing home name
ROLLING GREEN VILLAGE
Affiliated entity
LIFE CARE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rolling Green VillageCCN 425160
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Dec 12, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2217.4 residents per day on average
Chain
Life Care Services43 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

1 Hoke Smith Blvd
Greenville, SC 29615
Phone (864) 987-4612

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Ryan J Toerner Individual Operational/Managerial ControlExecutive Director Jun 1, 2023
Gary Judd Individual Corporate DirectorBoard Member Jan 1, 2023
Gary E. Schlansker Individual Corporate DirectorBoard Member Sep 27, 2019
Rolling Green Village Organization, Greenville, SC Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 5, 1977 100%
Kelly K. Wessel Individual Corporate DirectorBoard Member Jan 25, 2022
Life Care Services LLC Organization, Des Moines, IA LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2025
Adp of the SNF Apr 17, 2025
Glenn R. Dehollander Individual Corporate DirectorBoard Member Jan 1, 2019
Valerie D. Brooks-Madden Individual Corporate OfficerVice Board Chair Jan 1, 2023
Corporate DirectorBoard Member Jan 1, 2018
Joshua Grein Individual Corporate DirectorBoard Member Jan 1, 2024
Floyd Free Individual Corporate DirectorBoard Member Jul 1, 2024
Truist Bank Organization, Asheville, NC Corporation, Financial institution, For-profit 5% Or Greater Mortgage Interest Nov 1, 2018 82.28%
5% Or Greater Security Interest Nov 1, 2018 82.28%
Daniel J Garvin Individual Corporate OfficerSecretary Jul 28, 2018
Corporate DirectorBoard Member Jun 26, 2018
Anna Doolittle Individual Operational/Managerial Control May 15, 2023
Adp of the SNF Apr 17, 2025
Laurie Marie Theriot Roley Individual Operational/Managerial Control Feb 22, 2022
Adp of the SNF Apr 17, 2025
Gayle S Blouin Individual Corporate DirectorBoard Member Jun 1, 2024
Daniel T. Brennan Individual Corporate OfficerBoard Chair Jan 1, 2023
Corporate DirectorBoard Member Aug 1, 2019

Owners & managing parties with NPI records 1

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

Facilities with the same owner 57

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

View all 57

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1851375893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOKE SMITH BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155308",
            "telephone_number": "864-987-9800",
            "fax_number": "864-297-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOKE SMITH BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155308",
            "telephone_number": "864-987-9800",
            "fax_number": "864-297-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING GREEN VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "864-349-4801"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF-456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rolling Green Village Health Care Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rolling Green Village Health Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.