Active NPI
Medford Nursing Center LLC
- Skilled Nursing Facility
- Darlington, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NCF891
- Legal business name
- MEDFORD NURSING CENTER LLC
- Practice address
- 105 Medford Dr
Darlington, SC 29532-2719 - Phone
- (843) 398-7000
- NPI assigned
- Sep 13, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Lofe
- Title
- Ceo
- Phone
- (843) 393-9925
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NCF891 | SC | Primary |
Addresses
Primary practice location
105 Medford Dr
Darlington, SC 29532-2719
Mailing address
116 Cashua St
Darlington, SC 29532-3202
Phone (843) 393-9925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0527NH | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000329 | SC | Part A Provider - Skilled Nursing Facility | 7012802770 | Practice locations: Darlington, SC |
Skilled nursing facility certification: CCN 425176
- Legal name
- MEDFORD NURSING CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home โ SNF/NF dual certification
- Participating since
- Oct 6, 1989
- Last certification
- Feb 6, 2025
- Beds
- 88
- Ownership / control type
- Corporation
- Multi-facility organization
- Wilson Senior Care, Inc
- Organization structure
- LLC
- Incorporated
- Oct 1, 2003 in SC
- Enrollment address
- 105 Medford Dr
Darlington, SC 29532-2719 - Nursing home name
- MEDFORD NURSING CENTER
- Affiliated entity
- WILSON SENIOR CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Medford Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 6, 1989
- Medicare certification status
- Active
- Certified beds
- 88
- Chain
- Wilson Senior Care
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Susan Odom Weesner | Corporate Officer | Feb 20, 2004 | |
| Tyler a Lofe | Operational/Managerial Control | Mar 24, 2025 | |
| Dennis Andrew Lofe | Corporate Director | Feb 20, 2004 | |
| Wilson Senior Care Inc | 5% Or Greater Direct Ownership Interest | Oct 1, 2003 |
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Loris, SC
- NPI 1194128520
Wilson Senior Care Inc
-
- Skilled Nursing Facility
- Hartsville, SC
- NPI 1467447797
Wilson Senior Care Inc
-
- Skilled Nursing Facility
- Darlington, SC
- NPI 1437144771
Wilson Senior Care Inc
-
dba Filter... Info Icon Honorage Nursing Center
- Skilled Nursing Facility
- Florence, SC
- NPI 1194596882
Wilson Senior Care Inc
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1126569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972598225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 CASHUA ST",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295323202",
"telephone_number": "843-393-9925",
"fax_number": "843-393-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MEDFORD DR",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295322719",
"telephone_number": "843-398-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDFORD NURSING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LOFE",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-393-9925"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "SC",
"license": "NCF891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0527NH",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Darlington, SC
- Jackson Lane McRae, RN, BSN
- Med Atlantic Medical Transport LLC (Med Atlantic LLC)
- Med Center Pharmacy & Medical Supply LLC (Med Center LTC Pharmacy)
- Med Center Pharmacy & Medical Supply LLC
- Med-Center Pharmacy & Medical Supply LLC (Medical Center Pharmacy and Medical Supply)
- Medic of South Carolina, LLC
- Medone Medical Transport, LLC
- Isabel Mendoza, M.D.
- Nomava Mfecane, OTR/L
- Milestones Developmental Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.