NPIMap

Organization Active NPI

Thi of South Carolina at Columbia, LLC

Doing business as Midlands Health & Rehabilitation Center

  • Skilled Nursing Facility
  • Columbia, SC
National Provider Identifier
1952498149
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THI OF SOUTH CAROLINA AT COLUMBIA, LLC
Doing business as
Midlands Health & Rehabilitation Center
Practice address
1007 N Kings Way
Columbia, SC 29223-1916
Phone
(803) 699-4111
Fax
(803) 699-1845
NPI assigned
Oct 7, 2006
Last updated
Jan 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Jeffrey Skinner
Title
President
Phone
(803) 699-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1007 N Kings Way
Columbia, SC 29223-1916

Mailing address

920 Ridgebrook Rd
Sparks, MD 21152-9390
Phone (410) 773-1000

Other identifiers 1

IdentifierTypeStateIssuer
0868NFMedicaidSC

Other names 1

  • Midlands Health & Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040706000197 SC Part A Provider - Skilled Nursing Facility 4688651979 Practice locations: Columbia, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952498149. Details of each certification follow.

Skilled nursing facility certification: CCN 425287

Legal name
THI OF SOUTH CAROLINA AT COLUMBIA, LLC
Doing business as
MIDLANDS HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 8, 1988
Last certification
Aug 28, 2024
Beds
88
Ownership / control type
Corporation
Multi-facility organization
FUNDAMENTAL
Organization structure
LLCProprietary
Incorporated
May 19, 2003 in DE
Enrollment address
1007 N Kings St
Columbia, SC 29223-1916
Nursing home name
MIDLANDS HEALTH & REHABILITATION CENTER
Affiliated entity
FUNDAMENTAL HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Midlands Health & Rehabilitation CenterCCN 425287 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 8, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8883.1 residents per day on average
Chain
Fundamental Healthcare66 facilities in the chain
Penalties (3 years)
2Fines totaling $51,803

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Thi of South Carolina, LLC Organization, Sparks, MD LLC 5% Or Greater Direct Ownership Interest Aug 30, 2003 100%
Murray Forman Individual 5% Or Greater Indirect Ownership Interest Mar 28, 2006 100%
Mathew Stanley Individual Corporate OfficerPresident Dec 4, 2017
W-2 Managing EmployeeAdministrator/President Dec 4, 2017
Thi of Baltimore, Inc. Organization, Sparks, MD For-profit 5% Or Greater Indirect Ownership Interest Aug 30, 2003 100%
Hunt Valley Holdings LLC Organization, Sparks, MD For-profit 5% Or Greater Indirect Ownership Interest Mar 28, 2006 100%

Facilities with the same owner 40

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

View all 40

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": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1952498149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N KINGS WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231916",
            "telephone_number": "803-699-4111",
            "fax_number": "803-699-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF SOUTH CAROLINA AT COLUMBIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-699-4111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0868NF",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midlands Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.