NPIMap

Organization Active NPI

Carolina Healthcare LLC

Doing business as Compass Post Acute Rehabilitation

  • Skilled Nursing Facility
  • Conway, SC
National Provider Identifier
1851766711
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CAROLINA HEALTHCARE LLC
Doing business as
Compass Post Acute Rehabilitation
Practice address
2320 Highway 378
Conway, SC 29527-4911
Phone
(843) 397-2273
NPI assigned
Dec 3, 2015
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

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

Addresses

Primary practice location

2320 Highway 378
Conway, SC 29527-4911

Mailing address

2320 Highway 378
Conway, SC 29527-4911
Phone (843) 397-2273

Other names 1

  • Compass Post Acute Rehabilitation Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160921000710 SC Part A Provider - Skilled Nursing Facility 0749577674 Practice locations: Conway, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851766711. Details of each certification follow.

Skilled nursing facility certification: CCN 425391

Legal name
CAROLINA HEALTHCARE LLC
Doing business as
COMPASS POST ACUTE REHABILITAITON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 20, 2009
Last certification
Apr 10, 2025
Beds
95
Ownership / control type
Corporation
Multi-facility organization
Ensign Group
Organization structure
LLCProprietary
Incorporated
Nov 16, 2015 in NV
Enrollment address
2320 Highway 378
Conway, SC 29527-4911
Nursing home name
COMPASS POST ACUTE REHABILITATION
Affiliated entity
THE ENSIGN GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Compass Post Acute RehabilitationCCN 425391 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 20, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9579.5 residents per day on average
Chain
The Ensign Group342 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Standard Bearer Healthcare Op LP Organization, San Juan Capistrano, CA Adp of the SNF Jan 1, 2022
Conway Health Holdings LLC Organization, San Juan Capistrano, CA LLC Adp of the SNF Jan 1, 2022
Raymond Tiller Individual Operational/Managerial Control Oct 24, 2017
Managing Control - Governing BodyAdministrator Oct 24, 2017
Adp of the SNF Apr 9, 2025
The Ensign Group Inc Organization, San Juan Capistrano, CA Corporation 5% Or Greater Indirect Ownership Interest Nov 16, 2015 100%
Adp of the SNF Jan 1, 2022
Forrest Peterson Individual Corporate OfficerHopewell Pres, Carolina HC Manager Jan 1, 2024
Ami Sato Individual Corporate OfficerTreasurer of Carolina Healthcare LL Sep 9, 2024
Brent Thatcher Individual Corporate OfficerPresident of Carolina Healthcare LL Jan 1, 2020
Robert a Craven Individual Managing Control - Governing BodyMedical Director Nov 1, 2023
Adp of the SNF Apr 9, 2025
Hopewell Healthcare, Inc. Organization, San Juan Capistrano, CA Corporation 5% Or Greater Direct Ownership Interest Nov 16, 2015 100%
Soon Burnam Individual Corporate OfficerSecretary of Carolina Healthcare LL Nov 16, 2015

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 7

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1851766711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 HIGHWAY 378",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295274911",
            "telephone_number": "843-397-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HIGHWAY 378",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295274911",
            "telephone_number": "843-397-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113833.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Compass Post Acute Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compass Post Acute Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.