Wellmore of Daniel Island LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WELLMORE OF DANIEL ISLAND LLC

Practice address

580 Robert Daniel Drive
Charleston, SC 29492

Phone

(843) 556-1000

NPI assigned

Dec 12, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Donald O. Thompson Jr.

Title

Ceo

Phone

(704) 246-1616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Skilled nursing facility certification: CCN 425414

Legal name

WELLMORE OF DANIEL ISLAND LLC

Doing business as

RETREAT AT WELLMORE OF DANIEL ISLAND

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Apr 12, 2019

Last certification

Apr 2, 2025

Beds

60

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Maxwell Group

Organization structure

LLCProprietary

Incorporated

Mar 6, 2012 in SC

Enrollment address

580 Robert Daniel Dr
Charleston, SC 29492-7448

Nursing home name

RETREAT AT WELLMORE OF DANIEL ISLAND

Listed as

Retreat at Wellmore of Daniel IslandCCN 425414

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare

Ownership

For profit - Limited Liability company

Certified

Apr 12, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6046.9 residents per day on average

Penalties (3 years)

1Fines totaling $8,428

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 7

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

Owners & managing parties with NPI records 1

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

• John E Emmel, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Charleston, SC
  • NPI 1326048828

  Adp of the SNF

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• John E Emmel, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Charleston, SC
  • NPI 1326048828

  Nursing home

  Care Compare affiliation
• Samantha Jean Theobald, FNP

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1508563347

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1972018026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 TORINGDON WAY",
            "address_2": "STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-246-1620",
            "fax_number": "704-246-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 ROBERT DANIEL DRIVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29492",
            "telephone_number": "843-556-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMORE OF DANIEL ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-246-1616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Vivot Welber, M.D.
• Megan Welch, RN
• Sarah Welch, L. AC., MAOM
• Charles Victor Welden IV, MD
• Well Family Medicine
• Wellness First
• Wellness First, LLC
• Wellnessplus P a
• Christopher B Wells
• Hannah Rose Wells, MD

• Skilled Nursing Facility in Charleston, SC
• Providers in Charleston, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.

Verify at the official NPI Registry.