NPIMap

Organization Active NPI

Roper Hospital Inc

Doing business as Roper St Francis Hospice

  • Community Based Hospice Care Agency
  • Ladson, SC
National Provider Identifier
1902195563
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ROPER HOSPITAL INC
Doing business as
Roper St Francis Hospice
Practice address
8536 Palmetto Commerce Pkwy Ste 207B
Ladson, SC 29456-6700
Phone
(843) 402-3560
Fax
(843) 402-5087
NPI assigned
Apr 5, 2011
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Kimberly M Ralston
Title
VP Reimbursement
Phone
(419) 996-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

8536 Palmetto Commerce Pkwy Ste 207B
Ladson, SC 29456-6700

Mailing address

8536 Palmetto Commerce Pkwy Ste 207B
Ladson, SC 29456-6700
Phone (843) 402-3260

Other identifiers 1

IdentifierTypeStateIssuer
HSP135MedicaidSC

Other names 1

  • Roper St Francis Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120406000173 SC Part A Provider - Hospice 8426958919 Practice locations: Ladson, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902195563. Details of each certification follow.

Hospice certification: CCN 421612

Legal name
ROPER HOSPITAL INC
Doing business as
ROPER HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 27, 2012
Last certification
Mar 9, 2022
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
May 5, 1986 in SC
Enrollment address
8536 Palmetto Commerce Pkwy
Ste 207B
Ladson, SC 29456-6700

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Roper St Francis HospiceCCN 421612 · All quality measures
Ownership
Other
Certified
Jul 27, 2012
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Roper Mount Pleasant in26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Kevin Hoak Individual Corporate DirectorBoard Member Jan 1, 2023
Russell H Louis Individual Corporate DirectorBoard Member Jul 1, 2018
Megan K Baker Individual Corporate DirectorBoard Member Dec 2, 2023
John Buxton Individual Corporate DirectorBoard Member Jan 1, 2021
Lynne L Kerrison Individual Corporate DirectorBoard Member Jul 1, 2016
Jairy C Hunter Individual Corporate DirectorBoard Member Jul 1, 2018
Craig Andrew Mackaness Individual Corporate Director Jan 1, 2021
Joseph C. Ritchie Individual W-2 Managing EmployeeMedical Director Jun 1, 2021
Roper St. Francis Healthcare Organization, Marriottsville, MD Non-profit 5% Or Greater Direct Ownership Interest Jul 31, 1998 100%
Claudius E Watts Individual Corporate DirectorBoard Member Jan 1, 2024
Troy Powell Individual Corporate OfficerRegional President & VP Ops Aug 31, 2023
Corporate DirectorBoard Member Mar 1, 2023
W-2 Managing Employee Aug 31, 2023
Charles F Rivers Individual Corporate DirectorBoard Member Dec 17, 2020
Clary E Rawl Individual Corporate DirectorBoard Member Jul 1, 2018
Healthspan Partners Organization, Cincinnati, OH Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 2, 2020 51%
Donald J Davis Jr Individual Corporate DirectorBoard Member Jul 1, 2016
Medical Society of S.C. Organization, Charleston, SC Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 31, 1998 49%
Kimberly M Ralston Individual Corporate DirectorVP Reimbursement Jan 1, 2022

Owners & managing parties with NPI records 4

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

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1902195563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8536 PALMETTO COMMERCE PKWY STE 207B",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294566700",
            "telephone_number": "843-402-3260",
            "fax_number": "843-769-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8536 PALMETTO COMMERCE PKWY STE 207B",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294566700",
            "telephone_number": "843-402-3560",
            "fax_number": "843-402-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROPER HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP135",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roper St Francis Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ladson, SC

Sources for this page

Verify at the official NPI Registry.