Active NPI
NHC Healthcare-Clinton LLC
Doing business as NHC HealthCare, Clinton
- Skilled Nursing Facility
- Clinton, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NCF-804
- Legal business name
- NHC HEALTHCARE-CLINTON LLC
- Doing business as
- NHC HealthCare, Clinton
- Practice address
- 304 Jacobs Hwy
Clinton, SC 29325-7279 - Phone
- (864) 833-2550
- NPI assigned
- Jun 3, 2006
- Last updated
- Dec 13, 2011
- Organization subpart
- Yes
- Parent organization
- NATIONAL HEALTHCARE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julius B Kinney Jr.
- Title
- Manager
- Phone
- (864) 662-1452
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NCF-804 | SC | Primary |
Addresses
Primary practice location
304 Jacobs Hwy
Clinton, SC 29325-7279
Mailing address
PO Box 727
Clinton, SC 29325-0727
Phone (864) 833-2550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0601NH | Medicaid | SC |
Other names 1
- NHC HealthCare, Clinton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120118000325 | SC | Part A Provider - Skilled Nursing Facility | 2668649591 | Practice locations: Clinton, SC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1962440636. Details of each certification follow.
Skilled nursing facility certification: CCN 425071
- Legal name
- NHC HEALTHCARE-CLINTON LLC
- Doing business as
- NHC HEALTHCARE, CLINTON
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 5, 1970
- Last certification
- Apr 3, 2025
- Beds
- 131
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- National Healthcare Corporation
- Organization structure
- LLC
- Incorporated
- Feb 4, 2000 in SC
- Enrollment address
- 304 Jacobs Hwy
Clinton, SC 29325-7279 - Nursing home name
- NHC HEALTHCARE - CLINTON
- Affiliated entity
- NATIONAL HEALTHCARE CORPORATION
Care Compare: Nursing home
Medicare Care Compare- Listed as
- NHC Healthcare - Clinton
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 5, 1970
- Medicare certification status
- Active
- Certified beds
- 131
- Chain
- National Healthcare Corporation
National Provider Directory
National Provider Directory- Part of
- National Healthcare Corporation
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba NHC HealthCare, Sumter
- Skilled Nursing Facility
- Sumter, SC
- NPI 1760407910
Member Of
Locations
304 Jacobs Hwy
Clinton, SC 29325
Phone (864) 833-2550
Ownership & related parties
All disclosed owners & managing parties 18
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Timothy Shelly | Operational/Managerial Control | Jul 12, 2024 | |
| Robert M Ussery | Operational/Managerial Control | Jan 1, 2017 | |
| National Health Corporation | 5% Or Greater Indirect Ownership Interest | Jul 1, 2000 | 6.6% |
| Adp of the SNF | Jul 1, 2000 | ||
| Bradley Moorhouse | Corporate Officer | Jul 1, 2018 | |
| Operational/Managerial Control | Jul 1, 2018 | ||
| Managing Control - Governing Body | Jul 1, 2018 | ||
| Blackrock Inc | 5% Or Greater Indirect Ownership Interest | Mar 20, 2019 | 12.7% |
| Adp of the SNF | Mar 20, 2019 | ||
| Michael Bernardo | Operational/Managerial Control | Apr 28, 2023 | |
| Adp of the SNF | Apr 28, 2023 | ||
| Morgan Stanley | 5% Or Greater Indirect Ownership Interest | Nov 8, 2024 | 5.4% |
| Adp of the SNF | Nov 8, 2024 | ||
| Dustin Boggs | Operational/Managerial Control | Jul 22, 2009 | |
| Vanguard Group Inc | 5% Or Greater Indirect Ownership Interest | Mar 27, 2017 | 9.09% |
| Adp of the SNF | Mar 27, 2017 | ||
| Adp of the SNF | Jul 1, 2000 | ||
| Vicki L Dodson | Operational/Managerial Control | Jun 1, 2019 | |
| Adp of the SNF | Jun 1, 2019 | ||
| Charles Holder | Operational/Managerial Control | Aug 1, 2011 | |
| Adp of the SNF | Apr 13, 2025 | ||
| NHC-Op LP | 5% Or Greater Direct Ownership Interest | Jul 1, 2000 | 100% |
| Operational/Managerial Control | Jul 1, 2000 | ||
| Adp of the SNF | Jul 1, 2000 | ||
| National Healthcare Corporation | 5% Or Greater Indirect Ownership Interest | Jul 1, 2000 | 99% |
| Operational/Managerial Control | Jul 1, 2000 | ||
| Adp of the SNF | Jul 1, 2000 | ||
| NHC/Delaware Inc | Indirect Ownership Interest | Jul 1, 2000 | 1% |
| Dimensional Fund Advisors LP | 5% Or Greater Indirect Ownership Interest | Mar 7, 2023 | 6.1% |
| Adp of the SNF | Mar 7, 2023 | ||
| Indirect Ownership Interest | Nov 8, 2024 | 4.9% | |
| Brian Kidd | Operational/Managerial Control | Jan 1, 2017 | |
| Adp of the SNF | Jan 1, 2017 |
Owners & managing parties with NPI records 23
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Newberry, SC
- NPI 1598764870
Adp of the SNF, Operational/Managerial Control
-
dba NHC HealthCare, Sumter
- Skilled Nursing Facility
- Sumter, SC
- NPI 1760407910
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Home Health Agency
- Aiken, SC
- NPI 1003846734
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Home Health Agency
- Greenwood, SC
- NPI 1386689529
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Home Health Agency
- Clinton, SC
- NPI 1992735625
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Cookeville, TN
- NPI 1174559462
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Skilled Nursing Facility
- Lawrenceburg, TN
- NPI 1306883749
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
dba NHC HealthCare, Oak Ridge
- Skilled Nursing Facility
- Oak Ridge, TN
- NPI 1598703076
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Skilled Nursing Facility
- Murfreesboro, TN
- NPI 1699720029
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Home Health Agency
- Milan, TN
- NPI 1124043914
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Home Health Agency
- Springfield, TN
- NPI 1255356143
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Home Health Agency
- Crawfordville, FL
- NPI 1417987140
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 100
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Caris Healthcare, Columbia
- Community Based Hospice Care Agency
- Columbia, SC
- NPI 1235377615
National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
dba NHC HealthCare, Sumter
- Skilled Nursing Facility
- Sumter, SC
- NPI 1760407910
National Healthcare Corporation, NHC-Op LP
-
dba NHC HealthCare, Anderson
- Skilled Nursing Facility
- Anderson, SC
- NPI 1740225283
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
dba NHC HealthCare, Bluffton
- Skilled Nursing Facility
- Bluffton, SC
- NPI 1568791051
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
dba NHC HealthCare, Charleston
- Skilled Nursing Facility
- Charleston, SC
- NPI 1871753871
National Healthcare Corporation, NHC-Op LP
-
dba NHC HealthCare, Garden City
- Skilled Nursing Facility
- Murrells Inlet, SC
- NPI 1083652127
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
dba NHC HealthCare, Greenville
- Skilled Nursing Facility
- Greer, SC
- NPI 1568407005
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
- Skilled Nursing Facility
- Greenwood, SC
- NPI 1619902277
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
dba NHC HealthCare, Laurens
- Skilled Nursing Facility
- Laurens, SC
- NPI 1194760637
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
dba NHC HealthCare, Lexington
- Skilled Nursing Facility
- West Columbia, SC
- NPI 1952347882
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
-
dba NHC HealthCare, Mauldin
- Skilled Nursing Facility
- Greenville, SC
- NPI 1659306215
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, NHC-Op LP
-
dba NHC HealthCare, North Augusta
- Skilled Nursing Facility
- North Augusta, SC
- NPI 1205851441
Dimensional Fund Advisors LP, Morgan Stanley, National Health Corporation, National Healthcare Corporation, NHC-Op LP
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.
-
- Specialist
- Clinton, SC
- NPI 1902047350
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": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323734400000",
"number": "1962440636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 727",
"city": "CLINTON",
"state": "SC",
"postal_code": "293250727",
"telephone_number": "864-833-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 JACOBS HWY",
"city": "CLINTON",
"state": "SC",
"postal_code": "293257279",
"telephone_number": "864-833-2550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NHC HEALTHCARE-CLINTON LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NATIONAL HEALTHCARE CORPORATION",
"enumeration_date": "2006-06-03",
"last_updated": "2011-12-13",
"status": "A",
"authorized_official_last_name": "KINNEY",
"authorized_official_first_name": "JULIUS",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "864-662-1452",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "SC",
"license": "NCF-804",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0601NH",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NHC HealthCare, Clinton",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Clinton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.