january 9, 2019 south carolina department of health ... · blythewood, sc 29016-7221 columbia, sc...
TRANSCRIPT
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
1 hlfactcc.rdf
RichlandCounty:
Abortion ClinicFacility Type:
PLANNED PARENTHOOD OF SOUTH ATLANTIC
LOWE-HALL LISA PH#: 803-253-4908
1
2712 MIDDLEBURG DR STE 107
Richland / Non-Profit Corporation
AB-0002 / 07/31/2019
COLUMBIA, SC 29204-2478 FAC.#:803-256-4908
100 S BOYLAN AVE
RALEIGH, NC 27603
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 1 Number Licensed Units: 1
PLANNED PARENTHOOD SOUTH ATLANTIC
Totals For Facility/License Type: Abortion Clinic
Facility Email: [email protected]
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
2 hlfactcc.rdf
RichlandCounty:
Adult Day CareFacility Type:
COLUMBIA ADULT CARE
COLUMBIA ADULT CARE ON MAIN
DENT ALTERNATIVE ADULT DAY CARE HEALTH CENTER
LAUREL DAY HEALTH CENTER
MOUNTAIN TOP ADULT DAY CENTER
SHANDON DAY HEALTH CENTER
QUARLES TAMMY M PH#: 803-260-6087
QUARLES TAMMY M PH#: 803-260-6087
DENT RN BERTHA H PH#: 803-708-8955
HOPKINS CONSTANCE D PH#: 803-931-8166
KENNEDY CAROLYN PH#: 803-736-5872
WEATHERFORD VIRGINIA PH#: 803-252-1979
18
24
65
70
30
70
3127 ROSEWOOD DR
2101 MAIN ST STE H
7351 PARKLANE RD
1308 LAUREL ST
1941 DECKER BLVD
1100 SHIRLEY ST
Richland / Corporation
Richland / Corporation
Richland / Partnership
Richland / Non-Profit Corporation
Richland / Limited Liability
Richland / Non-Profit Corporation
ADC-0019 / 04/30/2019
ADC-0292 / 01/31/2020
ADC-0284 / 10/31/2019
ADC-0137 / 02/28/2019
ADC-0304 / 03/31/2019
ADC-0136 / 02/28/2019
COLUMBIA, SC 29205-3434 FAC.#:803-771-7108
COLUMBIA, SC 29201-2159 FAC.#:803-212-7005
COLUMBIA, SC 29223-7651 FAC.#:803-708-8955
COLUMBIA, SC 29201-2514 FAC.#:803-931-8166
COLUMBIA, SC 29206-3470 FAC.#:803-787-0020
COLUMBIA, SC 29205-1370 FAC.#:803-252-1979
3127 ROSEWOOD DR
2101 MAIN ST STE H
7351 PARKLANE RD
1308 LAUREL ST
1941 DECKER BLVD
1100 SHIRLEY ST
COLUMBIA, SC 29205-3434
COLUMBIA, SC 29201-2159
COLUMBIA, SC 29223-7651
COLUMBIA, SC 29201-2514
COLUMBIA, SC 29206-3470
COLUMBIA, SC 29205-1370
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Participants:
Number of Participants:
Number of Participants:
Number of Participants:
Number of Participants:
Number of Participants:
18
24
65
70
30
70
COLUMBIA ADULT CARE INC
COLUMBIA ADULT CARE INC
BERTHA H DENT AND ERIC R DENT
PALMETTO HEALTH
MOUNTAIN TOP ADULT DAY CENTER LLC
PALMETTO HEALTH
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
3 hlfactcc.rdf
RichlandCounty:
Adult Day CareFacility Type:
WHITE ROCK DAY HEALTH CENTER
NEWELL MELINDA PH#: 803-732-6670
50
109 WARTBURG ST
Richland / Non-Profit Corporation
ADC-0140 / 02/28/2019
WHITE ROCK, SC 29177 FAC.#:803-732-6670
109 WARTBURG ST
WHITE ROCK, SC 29177
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Participants: 50
Number of Activities/Facilities licensed: 7 Number Licensed Units: 327
PALMETTO HEALTH
Totals For Facility/License Type: Adult Day Care
Facility Email: [email protected]
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
4 hlfactcc.rdf
RichlandCounty:
Ambulatory SurgeryFacility Type:
BERKELEY ENDOSCOPY CENTER
CAROLINA COLONOSCOPY CENTER
CAROLINA INTERVENTIONAL PAIN INSTITUTE
COLUMBIA EYE SURGERY CENTER
COLUMBIA GASTROINTESTINAL ENDOSCOPY CENTER
MIDLANDS ORTHOPAEDICS SURGERY CENTER
BELLAMY GWENDOLYN PH#: 803-788-1120
BARTHOLOMEW DENISE PH#: 803-254-8449
HODGE JENNIFER PH#: 803-779-3263
MARTIN CARLY PH#: 803-254-7732
SEASE RN CINDY G PH#: 803-254-9588
EASLEY KELLY PH#: 803-461-4760
2
2
3
6
4
5
1072 WILDWOOD CENTRE DR
2631 FOREST DR
2611 FOREST DR
1920 PICKENS ST
2739 LAUREL ST STE 1B
1930 BLANDING ST
Richland / Ltd. Liability
Richland / Corporation
Richland / Limited Liability
Richland / Corporation
Richland / Ltd. Liability
Richland / Limited Liability
ASF-0104 / 01/31/2020
ASF-0042 / 08/31/2019
ASF-0135 / 03/31/2019
ASF-0018 / 07/31/2019
ASF-0032 / 09/30/2019
ASF-0136 / 09/30/2019
COLUMBIA, SC 29229-8420 FAC.#:803-788-1120
COLUMBIA, SC 29204-0000 FAC.#:803-254-8449
COLUMBIA, SC 29204 FAC.#:803-779-3263
COLUMBIA, SC 29201-2632 FAC.#:803-254-7732
COLUMBIA, SC 29201 FAC.#:803-254-9588
COLUMBIA, SC 29201-3520 FAC.#:803-461-4740
1072 WILDWOOD CENTRE DR
2631 FOREST DR
1655 BERNARDIN AVE STE 240
1920 PICKENS ST
1A BURTON HILLS BLVD
1930 BLANDING ST
COLUMBIA, SC 29229-8420
COLUMBIA, SC 29204-0000
COLUMBIA, SC 29204-2044
COLUMBIA, SC 29201-2632
NASHVILLE, TN 37215-6187
COLUMBIA, SC 29201-3520
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Operating Rooms:
Operating Rooms:
Operating Rooms:
Operating Rooms:
Operating Rooms:
Operating Rooms:
0
0
2
4
0
4
Procedure Rooms:
Procedure Rooms:
Procedure Rooms:
Procedure Rooms:
Procedure Rooms:
Procedure Rooms:
0
0
1
2
0
1
Endoscopy Rooms:
Endoscopy Rooms:
Endoscopy Rooms:
Endoscopy Rooms:
Endoscopy Rooms:
Endoscopy Rooms:
2
2
0
0
4
0
BERKELEY ENDOSCOPY CENTER LLC
SOUTH CAROLINA MEDICAL ENDOSCOPY LLC
CAROLINA INTERVENTIONAL PAIN INSTITUTE LLC
COLUMBIA EYE SURGERY CENTER INC
COLUMBIA ASC LLC
MIDLANDS ORTHOPAEDICS SURGERY CENTER LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
5 hlfactcc.rdf
RichlandCounty:
Ambulatory SurgeryFacility Type:
OUTPATIENT SURGERY CENTER OF LEXINGTON MEDICAL CENTER
IN IRMO
PALMETTO ENDOSCOPY SUITE
PALMETTO SURGERY CENTER
SOUTH CAROLINA ENDOSCOPY CENTER NORTHEAST LLC
SIPE ROGER L PH#: 803-749-0977
BEST RN GLENDA PH#: 803-509-5710
MCCLAMROCK FLEET L PH#: 803-865-8200
EDMONDSON DOREEN O PH#: 803-794-4585
4
2
5
5
7035 SAINT ANDREWS RD
1520 TAYLOR ST STE 250
109 BLARNEY DR
11 GATEWAY CORNERS PARK
Richland / Non-Profit Corporation
Richland / Limited Liability
Richland / Limited Liability
Richland / Ltd. Liability
ASF-0013 / 11/30/2019
ASF-0115 / 08/31/2019
ASF-0046 / 02/28/2019
ASF-0074 / 05/31/2019
COLUMBIA, SC 29212-1175 FAC.#:803-749-0924
COLUMBIA, SC 29201-2926 FAC.#:803-509-5710
COLUMBIA, SC 29223-6244 FAC.#:803-865-8200
COLUMBIA, SC 29203-8902 FAC.#:803-462-2300
2720 SUNSET BLVD
1520 TAYLOR ST STE 250
109 BLARNEY DR
11 GATEWAY CORNERS PARK
WEST COLUMBIA, SC 29169-4810
COLUMBIA, SC 29201-2926
COLUMBIA, SC 29223-6244
COLUMBIA, SC 29203-8902
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Operating Rooms:
Operating Rooms:
Operating Rooms:
Operating Rooms:
4
0
5
0
Procedure Rooms:
Procedure Rooms:
Procedure Rooms:
Procedure Rooms:
0
0
0
0
Endoscopy Rooms:
Endoscopy Rooms:
Endoscopy Rooms:
Endoscopy Rooms:
0
2
0
5
Number of Activities/Facilities licensed: 10 Number Licensed Units: 38
LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC
PALMETTO ENDOSCOPY SUITE LLC
PALMETTO SURGERY CENTER LLC
CLASS PROPERTIES NORTHEAST LLC
Totals For Facility/License Type: Ambulatory Surgery
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
6 hlfactcc.rdf
RichlandCounty:
Body PiercingFacility Type:
IMMACULATE STUDIOS
KNOTTY HEADZ BODY PIERCING II
OUCH!
RAW BODY PIERCING
TRILLIONAIRE 3000
WOOTEN SARAH M PH#: 803-799-2877
RORIE WOODROW DURAN PH#: 803-212-8349
WASHINGTON LEILA PH#: 803-397-8284
WHITE RAEGIN ADAIR PH#: 803-716-7900
DAVIS WILLIE J PH#: 803-699-0114
1
1
1
1
1
2009 GREENE ST STE 116
1608 DECKER BLVD STE B
10240 TWO NOTCH RD STE 4
9557 TWO NOTCH RD STE K
7352 TWO NOTCH RD STE B
Richland / Limited Liability
Richland / Ltd. Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Sole Proprietorship
BP-0200 / 05/31/2019
BP-0201 / 06/30/2019
BP-0215 / 01/31/2019
BP-0273 / 07/31/2019
BP-0274 / 06/30/2019
COLUMBIA, SC 29205-1697 FAC.#:803-799-2877
COLUMBIA, SC 29206-5246 FAC.#:803-603-0641
COLUMBIA, SC 29229-4217 FAC.#:803-462-0101
COLUMBIA, SC 29223 FAC.#:803-764-4579
COLUMBIA, SC 29223 FAC.#:803-699-0114
2009 GREENE ST STE 116
1608 DECKER BLVD STE B
829 REDDEN ROW
PO BOX 291506
7352 TWO NOTCH RD STE B
COLUMBIA, SC 29205-1697
COLUMBIA, SC 29206-5246
BLYTHEWOOD, SC 29016-7221
COLUMBIA, SC 29229
COLUMBIA, SC 29223
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 5 Number Licensed Units: 5
IMMACULATE STUDIOS LLC
KNOTTY HEADZ ENTERPRISES LLC
OUCH! LLC
RAW BODY PIERCING LLC
DAVIS III WILLIE J
Totals For Facility/License Type: Body Piercing
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
7 hlfactcc.rdf
RichlandCounty:
Community Residential Care FacilityFacility Type:
ADDISON'S COMMUNITY CARE HOME
AMARA PLACE AT COLUMBIA
ATRIA FOREST LAKE
B & J RESIDENTIAL CARE FACILITY
BLAKE AT WOODCREEK FARMS
DOCTOR-GREENWADE SARAH PH#: 803-736-0455
KOESTER KELLY H PH#: 803-788-9555
ELLROTT FAYE ESTES PH#: 803-790-9800
DAVIS-EARGLE EUGENIA M PH#: 803-786-0011
HERNANDEZ ROB PH#: 803-828-7370
9
59
60
5
100
4013 PERCIVAL RD
651 POLO RD
4405 FOREST DR
528 ATTERBURY DR
385 SPEARS CREEK CHURCH RD
Richland / Corporation
Richland / Limited Liability
Richland / Limited Liability
Richland / Corporation
Richland /
CRC-0815 / 05/31/2019
CRC-1944 / 12/31/2018 (Renewal Pending)
CRC-1143 / 05/31/2019
CRC-1461 / 12/31/2019
CRC-1570 / 02/28/2019
COLUMBIA, SC 29229-8321 FAC.#:803-736-0455
COLUMBIA, SC 29223-2905 FAC.#:803-788-9555
COLUMBIA, SC 29206-3103 FAC.#:803-790-9800
COLUMBIA, SC 29203-3002 FAC.#:803-786-0011
ELGIN, SC 29045-9312 FAC.#:803-828-7370
PO BOX 23328
651 POLO RD
300 E MARKET ST STE 100
213 LINGSTROM LN
385 SPEARS CREEK CHURCH RD
COLUMBIA, SC 29224-3328
COLUMBIA, SC 29223
LOUISVILLE, KY 40202
COLUMBIA, SC 29212
ELGIN, SC 29045
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
ADDISON'S COMMUNITY CARE HOME INC
TWG POLO ROAD LLC
WG FOREST LAKE SH LLC
B & J RESIDENTIAL CARE FACILITY LLC
BLAKE AT WOODCREEK FARMS LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
No
Yes
Yes
No
Yes
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
Yes
Yes
No
Yes
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
16
0
20
0
19
16
0
40
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
8 hlfactcc.rdf
RichlandCounty:
Community Residential Care FacilityFacility Type:
BROOKDALE COLUMBIA
BROOKDALE HARBISON
BUILDERS CARE HOME
CAROLINA GARDENS AT KATHWOOD
CARSON'S COMMUNITY CARE
SHULL BRIAN PH#: 803-741-2600
KEAR DOUGAL PH#: 803-732-0300
PH#:
PH#:
CARSON ANNIE P PH#: 803-786-7513
52
52
6
100
10
251 SPRINGTREE DR
51 WOODCROSS DR
731 SIMS AVE
4520 TRENHOLM RD
10219 FARROW RD
Richland / Limited Liability
Richland / Limited Liability
Richland / Non-Profit Corporation
Richland / Limited Liability
Richland / Sole Proprietorship
CRC-1310 / 12/31/2019
CRC-1311 / 12/31/2019
CRC-1491 / 04/30/2019
CRC-1911 / 08/31/2019
CRC-0916 / 02/28/2019
COLUMBIA, SC 29223-7989 FAC.#:803-741-2600
COLUMBIA, SC 29212-2350 FAC.#:803-732-0300
COLUMBIA, SC 29205-1837 FAC.#:803-376-8991
COLUMBIA, SC 29206-4425 FAC.#:803-787-1234
BLYTHEWOOD, SC 29016-9612 FAC.#:803-786-7513
251 SPRINGTREE DR
51 WOODCROSS DR
731 SIMS AVE
4520 TRENHOLM RD
10219 FARROW RD
COLUMBIA, SC 29223-7989
COLUMBIA, SC 29212-2350
COLUMBIA, SC 29205-1837
COLUMBIA, SC 29206-4425
BLYTHEWOOD, SC 29016-9612
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
BROOKDALE SENIOR LIVING COMMUNITIES INC
BROOKDALE SENIOR LIVING COMMUNITIES INC
ALDERSGATE SPECIAL NEEDS MINISTRY
FC MIDLANDS KATHWOOD LLC
CARSON JAMES E
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
No
Yes
No
No
No
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Yes
Yes
No
No
No
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
42
13
0
0
0
0
12
0
0
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
9 hlfactcc.rdf
RichlandCounty:
Community Residential Care FacilityFacility Type:
CASUAL COMMUNITY CARE HOME
CLS CARE HOME
COUNTRY COMFORT COMMUNITY HOME
COUNTRYWOOD ASSISTED LIVING
CROSSINGS AT COLUMBIA
BRIGGS MARY E PH#: 803-788-2721
DOWDY-SPEARMAN HELEN PH#: 803-353-3151
COUNTS CLIFFORD A PH#: 803-735-9777
HUNT JOSEPH R PH#: 803-776-3873
BOWLES KAREN PH#: 803-223-9560
8
5
9
26
110
112 GOODRICH ST
1024 TUCKER TOWN RD STE 1024A
204 JOE APREE CIR
1645 RIDGE RD
2300 CLEMSON RD
Richland / Sole Proprietorship
Richland / Sole Proprietorship
Richland /
Richland / Ltd. Liability
Richland / Limited Liability
CRC-0701 / 01/31/2019
CRC-1200 / 06/30/2019
CRC-1467 / 02/28/2019
CRC-1465 / 11/30/2019
CRC-1544 / 03/31/2019
COLUMBIA, SC 29223-7725 FAC.#:803-788-2721
GADSDEN, SC 29052-9789 FAC.#:803-353-3151
BLYTHEWOOD, SC 29016-8807 FAC.#:803-735-9777
HOPKINS, SC 29061-8432 FAC.#:803-776-3873
COLUMBIA, SC 29229-8029 FAC.#:803-223-9560
PO BOX 121
1024 TUCKER TOWN RD STE 1024A
2452 ROLLING PINES RD
1645 RIDGE RD
2300 CLEMSON RD
STATE PARK, SC 29147-0121
GADSDEN, SC 29052-9789
COLUMBIA, SC 29210
HOPKINS, SC 29061-8432
COLUMBIA, SC 29229-8029
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
BRIGGS MARY
CORA SCOTT
COUNTRY COMFORT HOMES LLC
COUNTRYWOOD NURSING CENTER LLC
COLUMBIA AL OPERATIONS LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
No
No
No
No
Yes
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
No
No
Yes
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
24
0
0
0
0
24
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
10 hlfactcc.rdf
RichlandCounty:
Community Residential Care FacilityFacility Type:
DAVIS COMMUNITY CARE HOME
DOWDY'S COMMUNITY CARE HOME #2
EUGENIA'S RESIDENTIAL CARE FACILITY
FLANAGAN COMMUNITY CARE HOME
HARBISON HALL
HARVEY ALTHEA PH#: 803-754-5677
DOWDY FRANK PH#: 803-786-2105
PH#:
BRIGGS MARY E PH#: 803-754-2136
DEQUINCEY-NEWMAN EMILY PH#: 803-731-2000
19
9
23
9
40
2306 HEYWARD BROCKINGTON RD
4609 ARLINGTON ST
2232 HEYWARD BROCKINGTON RD
665 SHARPE RD
534 WIL STEL RD
Richland / Partnership
Richland / Sole Proprietorship
Richland / Partnership
Richland / Sole Proprietorship
Richland / Partnership
CRC-0240 / 07/31/2019
CRC-0173 / 08/31/2018 (Renewal Pending)
CRC-0538 / 08/31/2019
CRC-0314 / 09/30/2019
CRC-1107 / 06/30/2019
COLUMBIA, SC 29203-9679 FAC.#:803-754-5677
COLUMBIA, SC 29203-4143 FAC.#:803-786-2105
COLUMBIA, SC 29203-9677 FAC.#:803-786-1047
COLUMBIA, SC 29203-9304 FAC.#:803-754-2136
COLUMBIA, SC 29210-3967 FAC.#:803-731-2000
PO BOX 3273
6125 LUKE ST
PO BOX 3273
665 SHARPE RD
1825 ST JULLIAN PL 5C
COLUMBIA, SC 29230-3273
COLUMBIA, SC 29203-5067
COLUMBIA, SC 29230-3273
COLUMBIA, SC 29203-9304
COLUMBIA, SC 29204
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
THOMASENA DAVIS EUGENIA M EARGLE & ELIJAH DAVIS
ANNIE R DOWDY
ELIJAH DAVIS THOMASENA DAVIS & EUGENIA M EARGLE
BRIGGS MARY E
HARBISON HALL PARTNERS
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
No
No
No
No
No
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
No
No
No
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
0
0
0
0
0
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
11 hlfactcc.rdf
RichlandCounty:
Community Residential Care FacilityFacility Type:
HARBORCHASE OF COLUMBIA
HAVEN IN THE SUMMIT
HERITAGE AT LOWMAN RESIDENTIAL CARE
HOMESTEAD AT THE CROSSINGS
IDA LANE I CRCF
PH#:
LILLY TAMMY D PH#: 803-788-4633
HYMAN ASHLEY PH#: 803-732-8800
PH#:
BARR ANGELA W PH#: 803-786-7522
66
60
132
25
8
120 FAIRFOREST RD
3 SUMMIT TER
2101 DUTCH FORK RD
2304 CLEMSON RD
120 IDA LN
Richland / Corporation
Richland / Limited Liability Limited Partnership
Richland / Non-Profit Corporation
Richland /
Richland /
CRC-1315 / 11/30/2019
CRC-1240 / 03/31/2019
CRC-0840 / 09/30/2019
CRC-1980 / 07/31/2019
CRC-1520 / 03/31/2019
COLUMBIA, SC 29212-2308 FAC.#:803-781-2243
COLUMBIA, SC 29229-7639 FAC.#:803-788-4633
CHAPIN, SC 29036 FAC.#:803-732-8800
COLUMBIA, SC 29229 FAC.#:803-223-9560
COLUMBIA, SC 29203-9234 FAC.#:803-786-7522
120 FAIRFOREST RD
400 CENTRE ST
PO BOX 444
2304 CLEMSON RD
120 IDA LN
COLUMBIA, SC 29212-2343
NEWTON, MA 02458-2094
WHITE ROCK, SC 29177-0444
COLUMBIA, SC 29229
COLUMBIA, SC 29203-9234
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
TWENTY TWO PACK MANAGEMENT CORPORATION
MORNINGSIDE OF ANDERSON LP
LUTHERAN HOMES OF SOUTH CAROLINA INC
COLUMBIA IL INVESTORS LLC
BABACOCK CENTER INC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
Yes
Yes
Yes
Yes
No
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Yes
Yes
Yes
Yes
No
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
36
60
48
11
0
29
60
48
11
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
12 hlfactcc.rdf
RichlandCounty:
Community Residential Care FacilityFacility Type:
IDA LANE II CRCF
JOANNE'S COMMUNITY CARE HOME #1
JOANNE'S COMMUNITY CARE HOME II
JOY COMMUNITY CARE HOME
KENSINGTON I
BARR ANGELA W PH#: 803-786-7522
CALDWELL JOANNE M PH#: 803-736-3860
CALDWELL JOANNE M PH#: 803-736-3094
DOUGLAS JONATHAN PH#: 803-754-3157
TURNER SUSAN P PH#: 803-256-0504
8
10
9
10
8
124 IDA LN
5048 PERCIVAL RD
756 FARROWOOD DR
6800 DOBY DR
100 KENSINGTON RD
Richland /
Richland / Sole Proprietorship
Richland / Sole Proprietorship
Richland / Sole Proprietorship
Richland / Sole Proprietorship
CRC-1518 / 12/31/2019
CRC-0932 / 06/30/2019
CRC-0030 / 03/31/2019
CRC-0961 / 11/30/2019
CRC-1532 / 06/30/2019
COLUMBIA, SC 29203-9234 FAC.#:803-786-7522
ELGIN, SC 29045-9156 FAC.#:803-736-3860
COLUMBIA, SC 29223-7801 FAC.#:803-736-3094
COLUMBIA, SC 29203-5133 FAC.#:803-754-3157
COLUMBIA, SC 29203-5451 FAC.#:803-256-0504
2725 BANNY JONES AVE
PO BOX 23494
PO BOX 23494
PO BOX 25215
110 PONTIAC BUSINESS CENTER DR STE C, CHESCO SERVICES
WEST COLUMBIA, SC 29170
COLUMBIA, SC 29224-3494
COLUMBIA, SC 29224-3494
COLUMBIA, SC 29224-5215
ELGIN, SC 29045
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
BABACOCK CENTER INC
CALDWELL JOANNE M
CALDWELL JOANNE M
SCOTT DEBORAH A
CHESCO SERVICES
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
No
No
No
No
No
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
No
No
No
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
0
0
0
0
0
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
13 hlfactcc.rdf
RichlandCounty:
Community Residential Care FacilityFacility Type:
KENSINGTON II GROUP HOME
KIVA LODGE
LEMONAIDE HOUSE
MARY'S RESIDENTIAL #2
MARY'S RESIDENTIAL CARE FACILITY
TURNER SUSAN PH#: 803-252-0848
ROUSE MATRICE PH#: 803-764-2761
ETHERIDGE LULA J PH#: 803-776-1742
SIMMONS NHAJIYAH PH#: 803-708-0300
SIMMONS NHAJIYAH RAHESSIA PH#: 803-708-1739
8
5
15
5
5
120 KENSINGTON RD
200 CLAUDE BUNDRICK RD
1018 CRYSTAL CLEAR LN
633 SHARPE RD
10425 WILSON BLVD
Richland / Sole Proprietorship
Richland / Corporation
Richland / Partnership
Richland / Sole Proprietorship
Richland / Sole Proprietorship
CRC-1536 / 11/30/2019
CRC-1092 / 07/31/2019
CRC-0924 / 05/31/2018 (Renewal Pending)
CRC-1534 / 08/31/2019
CRC-1501 / 01/31/2019
COLUMBIA, SC 29203-5451 FAC.#:803-252-0848
BLYTHEWOOD, SC 29016-9420 FAC.#:803-764-2761
HOPKINS, SC 29061-8237 FAC.#:803-776-1742
COLUMBIA, SC 29203-9304 FAC.#:803-708-0300
BLYTHEWOOD, SC 29016-9017 FAC.#:803-708-1739
1823 GADSDEN ST
1018 CRYSTAL CLEAR LN
138 CATTLE BARON LN
10425 WILSON BLVD
COLUMBIA, SC 29201-2344
HOPKINS, SC 29061-8237
ELGIN, SC 29045
BLYTHEWOOD, SC 29016-9017
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
CHESCO SERVICES
MENTAL HEALTH AMERICA OF SOUTH CAROLINA
LULA J ETHERIDGE AND NANCY A SMITH
BACOTE MARY
BACOTE MARY
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
No
No
No
No
No
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
No
No
No
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
0
0
0
0
0
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
14 hlfactcc.rdf
RichlandCounty:
Community Residential Care FacilityFacility Type:
MIRCI GROUP HOME I
MIRCI GROUP HOME II
NORTH PINES COMMUNITY RESIDENCE
OLIVER'S CARE HOME
PALMETTOS OF PARKLANE
COLLINS TIFFANY R PH#: 803-754-8894
COLLINS TIFFANY R PH#: 803-754-8894
LOCKHART ELESHA J PH#: 803-754-6213
ANDERSON VALENCIA W PH#: 803-754-3585
DAVILA KIMBERLY P PH#: 803-741-7233
6
6
8
5
85
581 BECKMAN RD
611 BECKMAN RD
313 N PINES RD
1200 LAWHORN RD
7811 PARKLANE RD
Richland / Corporation
Richland / Corporation
Richland / Sole Proprietorship
Richland / Limited Liability
Richland / Limited Liability
CRC-1443 / 06/30/2019
CRC-1444 / 06/30/2019
CRC-1504 / 04/30/2019
CRC-1480 / 08/31/2019
CRC-1513 / 04/30/2019
COLUMBIA, SC 29203-3207 FAC.#:803-754-4221
COLUMBIA, SC 29203-3282 FAC.#:803-754-8894
BLYTHEWOOD, SC 29016-8788 FAC.#:803-754-6213
BLYTHEWOOD, SC 29016-8975 FAC.#:803-754-3585
COLUMBIA, SC 29223-5620 FAC.#:803-741-7233
1408 GREGG ST
1408 GREGG ST
313 N PINES RD
1200 LAWHORN RD
7811 PARKLANE RD
COLUMBIA, SC 29201
COLUMBIA, SC 29201
BLYTHEWOOD, SC 29016-8788
BLYTHEWOOD, SC 29016-8975
COLUMBIA, SC 29223-5620
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
MENTAL ILLNESS RECOVERY CENTER INC
MENTAL ILLNESS RECOVERY CENTER INC
CHESCO SERVICES
OLIVER CARE HOME LLC
PALMETTOS OF PARKLANE LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
No
No
No
No
Yes
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
No
No
Yes
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
24
0
0
0
0
18
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
15 hlfactcc.rdf
RichlandCounty:
Community Residential Care FacilityFacility Type:
PASSIONATE CARE COMMUNITY CENTER
PIEDMONT PATHWAYS COMMUNITY RESIDENTIAL CARE FACILITY
PONDVIEW RESIDENTIAL CARE HOME #1
PONDVIEW RESIDENTIAL CARE HOME #2
REESE'S COMMUNITY CARE HOME #1
MARTIN DONALD E PH#: 803-404-2278
SCOTT GWENDOLYN PH#: 803-783-2273
THOMAS KATHERINE PH#: 803-735-0420
THOMAS KATHERINE W PH#: 803-735-0420
REESE JR JAMES S PH#: 803-908-3551
5
15
12
5
8
2206 HERTFORD DR
5640 LOWER RICHLAND BLVD
5342 HARDSCRABBLE RD
5338 HARDSCRABBLE RD
1203 E MULLER AVE
Richland / Sole Proprietorship
Richland / State
Richland / Sole Proprietorship
Richland / Sole Proprietorship
Richland / Corporation
CRC-1500 / 12/31/2018 (Renewal Pending)
CRC-1421 / 01/31/2019
CRC-0378 / 04/30/2019
CRC-1190 / 11/30/2019
CRC-0053 / 03/31/2019
COLUMBIA, SC 29210-6130 FAC.#:803-404-2278
HOPKINS, SC 29061-9525 FAC.#:803-783-2273
BLYTHEWOOD, SC 29016-9171 FAC.#:803-735-0420
BLYTHEWOOD, SC 29016-9171 FAC.#:803-735-0420
COLUMBIA, SC 29203-5926 FAC.#:803-760-4387
2206 HERTFORD DR
5640 LOWER RICHLAND BLVD
PO BOX 544
PO BOX 544
1203 E MULLER AVE
COLUMBIA, SC 29210-6130
HOPKINS, SC 29061-9525
BLYTHEWOOD, SC 29016-0544
BLYTHEWOOD, SC 29016-0544
COLUMBIA, SC 29203-5926
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
MARTIN DONALD E
PIEDMONT CENTER FOR MENTAL HEALTH SERVICES
THOMAS KATHERINE W
THOMAS KATHERINE W
REESE'S COMMUNITY CARE HOME INC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
No
No
No
No
No
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
No
No
No
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
0
0
0
0
0
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
16 hlfactcc.rdf
RichlandCounty:
Community Residential Care FacilityFacility Type:
REESE'S COMMUNITY CARE HOME #2
RICE ESTATE - ASSISTED LIVING
ROCKHAVEN COMMUNITY CARE HOME
ROUSE COMMUNITY CARE HOME #1
ROUSE COMMUNITY CARE HOME #2
PH#:
REAVIS LISA D PH#: 803-691-5720
BARNES RICHIE D PH#: 803-699-5361
ROUSE CHARLENE E PH#: 803-788-1753
ADDISON-DOCTOR SARAH PH#: 803-786-9357
5
40
10
8
9
717 CINDY DR
100 FINLEY RD
524 ROCKHAVEN DR
102 BALLENTON RD
8809 WILSON BLVD
Richland / Sole Proprietorship
Richland / Non-Profit Corporation
Richland / Sole Proprietorship
Richland / Corporation
Richland / Corporation
CRC-0054 / 03/31/2019
CRC-1075 / 03/31/2019
CRC-0800 / 01/31/2019
CRC-0327 / 12/31/2018 (Renewal Pending)
CRC-0328 / 12/31/2019
COLUMBIA, SC 29203-5205 FAC.#:803-908-3551
COLUMBIA, SC 29203-9264 FAC.#:803-691-5720
COLUMBIA, SC 29223-7805 FAC.#:803-699-5361
COLUMBIA, SC 29203-9073 FAC.#:803-788-1753
COLUMBIA, SC 29203-1817 FAC.#:803-786-9357
1203 MULLER AVE
300 MINISTRY DR
524 ROCKHAVEN DR
PO BOX 134
PO BOX 134
COLUMBIA, SC 29203
IRMO, SC 29063-2366
COLUMBIA, SC 29223-7805
STATE PARK, SC 29147-0134
STATE PARK, SC 29147-0134
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
REESE'S COMMUNITY CARE HOME INC
LUTHERAN HOMES OF SOUTH CAROLINA INC
RICHIE D BARNES
ROUSE COMMUNITY CARE HOME INC
ROUSE COMMUNITY CARE HOME INC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
No
No
No
No
No
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
No
No
No
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
0
0
0
0
0
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
17 hlfactcc.rdf
RichlandCounty:
Community Residential Care FacilityFacility Type:
ROUSE COMMUNITY CARE HOME #3
TURNING POINT CRCF
WALTERS RESIDENTIAL CARE
WESTSIDE RESIDENTIAL HOME
WILDEWOOD DOWNS ASSISTED LIVING COMMUNITY
ROUSE CHARLENE E PH#: 803-754-5720
DENNIS DORETHA L PH#: 803-647-1152
JOHNSON DELORES W PH#: 803-252-8918
JOHNSON LOVICE D PH#: 803-786-7411
CHAVIS DIANA L PH#: 803-788-5115
10
15
35
38
57
9316 WILSON BLVD
820 TOMS CREEK RD
821 DUKE AVE, 821-823
4112 HARTFORD ST
731 POLO RD
Richland / Corporation
Richland / State
Richland / Non-Profit Corporation
Richland / Corporation
Richland / Ltd. Liability
CRC-0238 / 09/30/2019
CRC-1356 / 04/30/2019
CRC-0985 / 03/31/2019
CRC-0907 / 11/30/2019
CRC-1271 / 03/31/2019
COLUMBIA, SC 29203-9769 FAC.#:803-754-5720
HOPKINS, SC 29061-8798 FAC.#:803-647-1152
COLUMBIA, SC 29203-5651 FAC.#:803-252-8918
COLUMBIA, SC 29204-3025 FAC.#:803-786-7411
COLUMBIA, SC 29223-4462 FAC.#:803-788-5115
PO BOX 134
820 TOMS CREEK RD
PO BOX 211263
PO BOX 7905
731 POLO RD
STATE PARK, SC 29147-0134
HOPKINS, SC 29061-8798
COLUMBIA, SC 29221-6263
COLUMBIA, SC 29202-7905
COLUMBIA, SC 29223-4462
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
ROUSE COMMUNITY CARE HOME INC
PIEDMONT CENTER FOR MENTAL HEALTH SERVICES
MIPD INC
WESTSIDE RESIDENTIAL HOME INC
WILDEWOOD DOWNS RETIREMENT LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
No
No
No
No
Yes
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
No
No
Yes
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
8
0
0
0
0
8
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
18 hlfactcc.rdf
RichlandCounty:
Community Residential Care FacilityFacility Type:
WILLIAMS COMMUNITY CARE HOME
WILLIAMS CHARLES A PH#: 803-783-1223
9
7705 RICHARD ST
Richland / Sole Proprietorship
CRC-0280 / 11/30/2019
COLUMBIA, SC 29209-3733 FAC.#:803-783-1223
8435 MONTICELLO RD
COLUMBIA, SC 29203
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 56 Number Licensed Units: 1,476
CHARLES A WILLIAMS SR
Totals For Facility/License Type: Community Residential Care Facility
Facility Email: [email protected]
Licensed
Units
Certifications:
Alzheimer Care:
None
NoAlzheimer Unit:No Max # Resident: Max # Beds:0 0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
19 hlfactcc.rdf
RichlandCounty:
Freestanding or Mobile Tech.Facility Type:
SOUTH CAROLINA ONCOLOGY ASSOCIATES PA-COLUMBIA
SHEALY DAWN PH#: 803-461-3600
1
166 STONERIDGE DR
Richland / Partnership
FSMT-0027 / 10/31/2019
COLUMBIA, SC 29210-8239 FAC.#:803-461-3627
166 STONERIDGE DR STE 100
COLUMBIA, SC 29210-8239
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 1 Number Licensed Units: 1
SOUTH CAROLINA ONCOLOGY ASSOCIATES PA
Totals For Facility/License Type: Freestanding or Mobile Tech.
Facility Email: [email protected]
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
20 hlfactcc.rdf
RichlandCounty:
Habilitation R15Facility Type:
ARCHIE DRIVE GROUP HOME
CARTER STREET GROUP HOME
HORRELL HILL COMMUNITY RESIDENCE
RABBIT RUN COMMUNITY RESIDENCE
WOODLAWN GROUP HOME
GASS ANISTE PH#: 803-799-1970
GASS ANISTE PH#: 803-799-1970
GASS ANISTE PH#: 803-799-1970
GASS ANISTE PH#: 803-799-1970
GASS ANISTE PH#: 803-799-1970
8
8
8
8
8
33 ARCHIE DR
1203 CARTER ST
1614 RIDGE RD
1114 RABBIT RUN RD
1400 WOODLAWN DR
Richland / State
Richland / State
Richland / State
Richland / State
Richland / State
MR15-0178 / 06/30/2019
MR15-0193 / 06/30/2019
MR15-0200 / 06/30/2019
MR15-0217 / 06/30/2019
MR15-0227 / 06/30/2019
COLUMBIA, SC 29223-5813 FAC.#:803-799-1970
COLUMBIA, SC 29204-2852 FAC.#:803-799-1970
HOPKINS, SC 29061 FAC.#:803-799-1970
HOPKINS, SC 29061 FAC.#:803-799-1970
COLUMBIA, SC 29209 FAC.#:803-799-1970
PO BOX 4706, DDSN C/O RUFUS BRITT
PO BOX 4706, DDSN C/O RUFUS BRITT
PO BOX 4706, DDSN C/O RUFUS BRITT
PO BOX 4706, DDSN C/O RUFUS BRITT
PO BOX 4706, DDSN C/O RUFUS BRITT
COLUMBIA, SC 29240-4706
COLUMBIA, SC 29240-4706
COLUMBIA, SC 29240-4706
COLUMBIA, SC 29240-4706
COLUMBIA, SC 29240-4706
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 5 Number Licensed Units: 40
SC DEPARTMENT OF DISABILITIES AND SPECIAL NEEDS
SC DEPARTMENT OF DISABILITIES AND SPECIAL NEEDS
SC DEPARTMENT OF DISABILITIES AND SPECIAL NEEDS
SC DEPARTMENT OF DISABILITIES AND SPECIAL NEEDS
SC DEPARTMENT OF DISABILITIES AND SPECIAL NEEDS
Totals For Facility/License Type: Habilitation R15
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
21 hlfactcc.rdf
RichlandCounty:
Habilitation R16Facility Type:
FIRST MIDLANDS ICF/IID
WRIGHT ANGELA PH#: 803-935-7502
344
8301 FARROW RD
Richland / State
MR16-0103 / 05/31/2019
COLUMBIA, SC 29203-3294 FAC.#:803-935-7502
PO BOX 4706, DDSN C/O DAVID GOODELL
COLUMBIA, SC 29240-4706
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 1 Number Licensed Units: 344
SOUTH CAROLINA DEPARTMENT OF DISABILITIES AND SPECIAL NEEDS
Totals For Facility/License Type: Habilitation R16
Facility Email: [email protected]
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
22 hlfactcc.rdf
RichlandCounty:
Home HealthFacility Type:
KINDRED AT HOME
PALMETTO HEALTH HOMECARE
PRESBYTERIAN COMMUNITIES OF SC HOME HEALTH AGENCY
BROWN NATASHA L PH#:
HEFLIN FRANK G PH#: 803-296-3100
STAMPER AMANDA L PH#: 803-772-5885
4
2
7
2000 CENTER POINT RD STE 2300
1400 PICKENS ST
2817 ASHLAND RD
Richland / Limited Liability
Richland / Non-Profit Corporation
Richland / Non-Profit Corporation
HHA-0154 / 11/30/2019
HHA-0148 / 02/28/2019
HHA-0212 / 12/31/2019
COLUMBIA, SC 29210-7318 FAC.#:803-731-2365
COLUMBIA, SC 29201-3465 FAC.#:803-296-3100
COLUMBIA, SC 29210-5009 FAC.#:803-772-5885
12900 FOSTER ST STE 400
PO BOX 7275
2817 ASHLAND RD
OVERLAND PARK, KS 66213-2696
COLUMBIA, SC 29202-7275
COLUMBIA, SC 29210-5009
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
CAPITAL CARE RESOURCES OF SOUTH CAROLINA LLC
PALMETTO HEALTH
PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA
Counties Served:
Counties Served:
Counties Served:
Calhoun, Lexington, Orangeburg, Richland
Lexington, Richland
Berkeley, Dorchester, Florence, Laurens, Lexington, Pickens, Richland, Special
Note - Berkeley, Dorchester, Florence, Laurens, Lexington Pickens & Richland CCRC
campus residents only
License Restrictions:
License Restrictions:
License Restrictions:SERVING CONTINUING CARE RETIREMENT COMMUNITY CAMPUSES ONLY IN 7 COUNTIES AS LI
Physical Therapy:
Physical Therapy:
Physical Therapy:
Y
Y
Y
Speech Therapy:
Speech Therapy:
Speech Therapy:
Y
Y
Y
Occupational Therapy:
Occupational Therapy:
Occupational Therapy:
Y
Y
Y
Med. Social Services:
Med. Social Services:
Med. Social Services:
Y
Y
Y
Home Health Aid:
Home Health Aid:
Home Health Aid:
Y
Y
Y
Medical Supplies/Appliances/Durable Medical Equipment:
Medical Supplies/Appliances/Durable Medical Equipment:
Medical Supplies/Appliances/Durable Medical Equipment:
N
N
N
Other:
Other:
Other:
CHAPLAINEY, DIETARY AND ENTEROSTOMAL THERAPIST
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
23 hlfactcc.rdf
RichlandCounty:
Home HealthFacility Type:
PRUITTHEALTH HOME HEALTH-COLUMBIA
YOUNG STEPHANIE PH#: 803-359-2253
23
240 STONERIDGE DR STE 100
Richland / Corporation
HHA-0232 / 01/31/2019
COLUMBIA, SC 29210-8013 FAC.#:803-626-0089
118 YORK ST
CHESTER, SC 29706-1484
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 4 Number Licensed Units: 36
PRUITTHEALTH HOME HEALTH INC
Counties Served: Abbeville, Anderson, Calhoun, Cherokee, Chester, Edgefield, Fairfield, Greenville,
Greenwood, Kershaw, Lancaster, Laurens, Lexington, McCormick, Newberry, Oconee,
Pickens, Richland, Saluda, Spartanburg, Sumter, Union, York
Totals For Facility/License Type: Home Health
License Restrictions:
Physical Therapy: Y Speech Therapy: Y Occupational Therapy:Y Med. Social Services:YHome Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N
Other:
Facility Email: [email protected]
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
24 hlfactcc.rdf
RichlandCounty:
Hospice FacilityFacility Type:
AGAPE HOSPICE HOUSE OF THE MIDLANDS
AGAPE HOSPICE HOUSE OF THE MIDLANDS
PIERCE JR R MAX PH#: 803-454-1221
DILLARD REBECCA J PH#: 803-776-4484
12
12
141 STONERIDGE DR
141 STONERIDGE DR
Richland / Corporation
Richland / Corporation
HPF-0034 / 11/30/2019
HPF-0026 / 04/30/2019
COLUMBIA, SC 29210-8240 FAC.#:803-454-1221
COLUMBIA, SC 29210-8240 FAC.#:803-454-1221
141 STONERIDGE DR
COLUMBIA, SC 29210-8240
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 2 Number Licensed Units: 24
AGAPE HOSPICE OF THE LOW COUNTRY INC
AGAPE COMMUNITY HOSPICE OF THE GRAND STRAND INC
Totals For Facility/License Type: Hospice Facility
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
25 hlfactcc.rdf
RichlandCounty:
Hospice ProgramFacility Type:
COMFORT CARE HOSPICE
COMPASSIONATE CARE HOSPICE OF SOUTH CAROLINA
CRESCENT HOSPICE
HADORA HOSPICE LLC
PH#:
THOMPSON JEREMY PH#: 803-731-8110
MORTON DANA PH#: 803-732-3274
GREEN WANDA PH#: 803-667-9012
31
46
46
6
2211 LAKE MURRAY BLVD
100 ASHLAND PARK LN STE B
1370 BROWNING RD STE 120
6156 SAINT ANDREWS RD STE 208
Richland / Limited Liability
Richland / Limited Liability
Richland / Corporation
Richland / Limited Liability
HPC-0183 / 06/30/2019
HPC-0156 / 10/31/2019
HPC-0160 / 06/30/2019
HPC-0217 / 12/31/2019
COLUMBIA, SC 29212 FAC.#:803-749-8080
COLUMBIA, SC 29210 FAC.#:803-731-8110
COLUMBIA, SC 29210 FAC.#:803-732-3274
COLUMBIA, SC 29212 FAC.#:803-667-9012
403 N LAKE DR
455 SAINT ANDREWS RD BLDG D STES 1 & 4A
1370 BROWNING RD STE 120
PO BOX 1671
LEXINGTON, SC 29072
COLUMBIA, SC 29210-4486
COLUMBIA, SC 29210
IRMO, SC 29063
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
COMFORT CARE HOSPICE LLC
COMPASSIONATE CARE HOSPICE OF SOUTH CAROLINA LLC
CRESCENT HOSPICE INC
LAWRIN GREEN
Counties Served:
Counties Served:
Counties Served:
Counties Served:
Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun,
Charleston, Darlington, Dillon, Dorchester, Edgefield, Florence, Georgetown,
Greenville, Greenwood, Hampton, Horry, Laurens, Lexington, McCormick, Newberry,
Oconee, Orangeburg, Pickens, Richland, Saluda, Spartanburg, Sumter, Union
Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley,
Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton,
Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown,
Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee,
Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens,
Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York
Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley,
Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton,
Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown,
Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee,
Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens,
Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York
Aiken, Lee, Lexington, Orangeburg, Richland, Sumter
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
26 hlfactcc.rdf
RichlandCounty:
Hospice ProgramFacility Type:
HALCYON HOSPICE
HEARTFELT HOSPICE INC DBA HEARTSTRINGS HOSPICE
HOMESTEAD HOSPICE OF COLUMBIA
LIGHTHOUSE HOSPICE GROUP
HANNA EMILY J PH#: 803-758-4099
GUTSHALL MICHAEL S PH#: 803-699-3233
TILLEY BARBARA JEAN PH#: 803-509-8844
FROST NICOLE L PH#: 803-781-1935
46
17
46
7
140 STONERIDGE DR STE 630
115 BLARNEY DR STE 202A
7825 BROAD RIVER RD STE 100
110 OAK PARK DR STE C
Richland / Limited Liability
Richland / Corporation
Richland / Limited Liability
Richland / Limited Liability
HPC-0145 / 07/31/2019
HPC-0211 / 09/30/2019
HPC-0204 / 04/30/2019
HPC-0159 / 05/31/2019
COLUMBIA, SC 29210-8258 FAC.#:803-758-4099
COLUMBIA, SC 29223-6291 FAC.#:803-699-3233
IRMO, SC 29063-2375 FAC.#:803-509-8844
IRMO, SC 29063-6110 FAC.#:803-781-1935
PO BOX 51266
115 BLARNEY DR STE 202A
10888 CRABAPPLE RD
110 OAK PARK DR STE C
LAFAYETTE, LA 70505-1266
COLUMBIA, SC 29223-6291
ROSWELL, GA 30075-5850
IRMO, SC 29063-6110
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
LHCG XLI LLC
HEARTFELT HOSPICE INC
HOMESTEAD HOSPICE OF COLUMBIA LLC
LIGHTHOUSE HOSPICE GROUP LLC
Counties Served:
Counties Served:
Counties Served:
Counties Served:
Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley,
Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton,
Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown,
Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee,
Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens,
Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York
Aiken, Allendale, Bamberg, Barnwell, Calhoun, Edgefield, Fairfield, Greenwood,
Kershaw, Lee, Lexington, McCormick, Newberry, Orangeburg, Richland, Saluda, Sumter
Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley,
Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton,
Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown,
Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee,
Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens,
Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York
Calhoun, Fairfield, Lexington, Newberry, Orangeburg, Richland, Sumter
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
27 hlfactcc.rdf
RichlandCounty:
Hospice ProgramFacility Type:
LUTHERAN HOSPICE
MEDICAL SERVICES OF AMERICA HOSPICE
PALMETTO HEALTH HOSPICE
PRUITTHEALTH HOSPICE-COLUMBIA
REST ASSURED FAMILY SERVICES
ESTES GREGORY A PH#: 803-749-7770
MCCLAIN EDNA M PH#: 803-400-1171
HEFLIN FRANK G PH#: 803-296-3100
DANKO LANCE PH#:
CARTER TRACEY M PH#: 803-788-8272
46
30
13
21
13
102 FORTRESS DR
166 STONERIDGE DR STE 100
1400 PICKENS ST
903 ELMWOOD AVE STE A
9570 TWO NOTCH RD STE 9
Richland / Non-Profit Corporation
Richland / Corporation
Richland / Non-Profit Corporation
Richland / Corporation
Richland / Non-Profit Corporation
HPC-0041 / 03/31/2019
HPC-0043 / 02/28/2019
HPC-0056 / 02/28/2019
HPC-0102 / 12/31/2019
HPC-0158 / 01/31/2019
CHAPIN, SC 29063 FAC.#:803-749-7770
COLUMBIA, SC 29210-8239 FAC.#:803-400-1171
COLUMBIA, SC 29201-3465 FAC.#:803-296-3100
COLUMBIA, SC 29201-2066 FAC.#:803-771-0489
COLUMBIA, SC 29223 FAC.#:803-788-8272
PO BOX 805
PO BOX 609
PO BOX 7275
903 ELMWOOD AVE STE A
9570 TWO NOTCH RD STE 9
WHITE ROCK, SC 29177-0805
LEXINGTON, SC 29071-0609
COLUMBIA, SC 29202-7275
COLUMBIA, SC 29201-2066
COLUMBIA, SC 29223
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
LUTHERAN HOMES OF SOUTH CAROLINA INC
TRI COUNTY HOSPICE INC
PALMETTO HEALTH
PRUITTHEALTH HOSPICE INC
REST ASSURED FAMILY SERVICES
Counties Served:
Counties Served:
Counties Served:
Counties Served:
Counties Served:
Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley,
Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton,
Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown,
Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee,
Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens,
Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York
Abbeville, Aiken, Allendale, Bamberg, Barnwell, Calhoun, Chesterfield, Clarendon,
Darlington, Edgefield, Fairfield, Florence, Georgetown, Greenwood, Hampton,
Kershaw, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, McCormick,
Newberry, Orangeburg, Richland, Saluda, Sumter, Union, Williamsburg
Aiken, Calhoun, Chester, Fairfield, Kershaw, Lancaster, Laurens, Lexington,
Newberry, Richland, Saluda, Sumter, Union
Abbeville, Anderson, Calhoun, Cherokee, Chester, Fairfield, Greenville, Greenwood,
Kershaw, Lancaster, Laurens, Lexington, Newberry, Oconee, Pickens, Richland,
Saluda, Spartanburg, Sumter, Union, York
Aiken, Bamberg, Barnwell, Calhoun, Clarendon, Fairfield, Kershaw, Lee, Lexington,
Newberry, Orangeburg, Richland, Sumter
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
28 hlfactcc.rdf
RichlandCounty:
Hospice ProgramFacility Type:
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 13 Number Licensed Units: 368
Totals For Facility/License Type: Hospice Program
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
29 hlfactcc.rdf
RichlandCounty:
Hospital or Institutional General InfirmaryFacility Type:
CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTIST
CORRECT CARE OF SOUTH CAROLINA
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF COLUMBIA
G WERBER BRYAN PSYCHIATRIC HOSPITAL
PH#:
LAWRENZ JR RONALD R PH#: 803-935-0505
DAUGHTRY CHRIS PH#: 803-254-7777
SHIELDS STUART PH#:
35
145
96
530
TAYLOR AT MARION ST
7901 FARROW RD
2935 COLONIAL DR
220 FAISON DR
Richland / Corporation
Richland / Limited Liability
Richland / Corporation
Richland / State
HTL-0939 / 08/31/2019
HTL-0756 / 09/30/2019
HTL-0504 / 01/31/2019
HTL-0515 / 02/28/2019
COLUMBIA, SC 29220 FAC.#:803-296-3126
COLUMBIA, SC 29203-3220 FAC.#:803-935-0505
COLUMBIA, SC 29203-6811 FAC.#:803-254-7777
COLUMBIA, SC 29203-3210 FAC.#:803-935-7143
TAYLOR AT MARION ST
7901 FARROW RD
2935 COLONIAL DR
220 FAISON DR
COLUMBIA, SC 29220
COLUMBIA, SC 29203
COLUMBIA, SC 29203-6811
COLUMBIA, SC 29203-3210
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Licensed Beds:
Licensed Beds:
Licensed Beds:
Licensed Beds:
General:
General:
General:
General:
35
145
0
0
Psychiatric:
Psychiatric:
Psychiatric:
Psychiatric:
0
0
0
530
Rehab:
Rehab:
Rehab:
Rehab:
0
0
96
0
Substance Abuse:
Substance Abuse:
Substance Abuse:
Substance Abuse:
0
0
0
0
Other Beds :
Other Beds :
Other Beds :
Other Beds :
NICU:
NICU:
NICU:
NICU:
0
0
0
0
Neonatal Special Care:
Neonatal Special Care:
Neonatal Special Care:
Neonatal Special Care:
0
0
0
0
CONTINUECARE HOSPITAL AT PALMETTO HEALTH BAPTISTINC
CORRECT CARE OF SOUTH CAROLINA
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF COLUMBIA INC
SC DEPARTMENT OF MENTAL HEALTH
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
None
None
JCAHO Accredited
JCAHO Accredited
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
30 hlfactcc.rdf
RichlandCounty:
Hospital or Institutional General InfirmaryFacility Type:
GILLIAM PSYCHIATRIC HOSPITAL
KIRKLAND CORRECTIONAL INSTITUTION INFIRMARY
MORRIS VILLAGE
PALMETTO HEALTH BAPTIST
PALMETTO HEALTH BAPTIST PARKRIDGE
DRAKE JAMES STONEY PH#: 803-896-2271
MULLINS DANIEL PH#: 803-896-8567
MCCONNELL GEORGE PH#: 803-935-7100
GATTMAN GREGORY B PH#: 803-296-5010
KEENE EMILIE PH#: 803-907-7011
82
24
174
352
76
4344 BROAD RIVER RD
4344 BROAD RIVER RD
610 FAISON DR
TAYLOR ST AT MARION ST
400 PALMETTO HEALTH PKWY
Richland / State
Richland / State
Richland / State
Richland / Non-Profit Corporation
Richland / Non-Profit Corporation
HTL-0431 / 10/31/2019
HTL-0385 / 10/31/2019
HTL-0516 / 05/31/2019
HTL-0739 / 02/28/2019
HTL-0913 / 03/31/2019
COLUMBIA, SC 29210-4010 FAC.#:803-896-2271
COLUMBIA, SC 29210-4010 FAC.#:803-896-8567
COLUMBIA, SC 29203-3218 FAC.#:803-935-7100
COLUMBIA, SC 29220 FAC.#:803-296-5010
COLUMBIA, SC 29212-1760 FAC.#:803-907-7011
4344 BROAD RIVER RD
PO BOX 21787
610 FAISON DR
1330 TAYLOR ST
400 PALMETTO HEALTH PKWY
COLUMBIA, SC 29210-4010
COLUMBIA, SC 29221-1787
COLUMBIA, SC 29203-3218
COLUMBIA, SC 29201-2943
COLUMBIA, SC 29212-1760
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Licensed Beds:
Licensed Beds:
Licensed Beds:
Licensed Beds:
Licensed Beds:
General:
General:
General:
General:
General:
0
24
11
287
76
Psychiatric:
Psychiatric:
Psychiatric:
Psychiatric:
Psychiatric:
82
0
0
55
0
Rehab:
Rehab:
Rehab:
Rehab:
Rehab:
0
0
0
0
0
Substance Abuse:
Substance Abuse:
Substance Abuse:
Substance Abuse:
Substance Abuse:
0
0
163
10
0
Other Beds :
Other Beds :
Other Beds :
Other Beds :
Other Beds :
NICU:
NICU:
NICU:
NICU:
NICU:
0
0
0
8
0
Neonatal Special Care:
Neonatal Special Care:
Neonatal Special Care:
Neonatal Special Care:
Neonatal Special Care:
0
0
0
22
0
SC DEPT OF CORRECTIONS
SC DEPT OF CORRECTIONS
SC DEPARTMENT OF MENTAL HEALTH
PALMETTO HEALTH
PALMETTO HEALTH
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
None
None
None
Abortions, Perinatal Level III, JCAHO Accredited
Abortions, Perinatal Level I, JCAHO Accredited
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
31 hlfactcc.rdf
RichlandCounty:
Hospital or Institutional General InfirmaryFacility Type:
PALMETTO HEALTH RICHLAND
PROVIDENCE HEALTH
PROVIDENCE HEALTH - NORTHEAST
SOUTH CAROLINA SEXUALLY VIOLENT PREDATOR TREATMENT
PROGRAM
WILLOW LANE INFIRMARY
HAM JAY PH#:
CAMPBELL C SCOTT PH#: 803-256-5300
CAMPBELL C SCOTT PH#: 803-865-4500
PH#:
TAVELLA PATRICK A PH#: 803-896-9461
641
258
74
14
8
5 RICHLAND MEDICAL PARK DR
2435 FOREST DR
120 GATEWAY CORPORATE BLVD
4546 BROAD RIVER RD
4650 BROAD RIVER RD
Richland / Non-Profit Corporation
Richland / Limited Liability
Richland / Limited Liability
Richland /
Richland / State
HTL-0741 / 02/28/2019
HTL-0928 / 02/28/2019
HTL-0929 / 02/28/2019
HTL-0942 / 12/31/2019
HTL-0274 / 06/30/2019
COLUMBIA, SC 29203-6897 FAC.#:803-434-7000
COLUMBIA, SC 29204-2098 FAC.#:803-256-5300
COLUMBIA, SC 29203-9611 FAC.#:803-865-4500
COLUMBIA, SC 29210 FAC.#:000-000-0000
COLUMBIA, SC 29210-4016 FAC.#:803-896-9461
1330 TAYLOR ST
2435 FOREST DR
120 GATEWAY CORPORATE BLVD
4546 BROAD RIVER RD
4650 BROAD RIVER RD
COLUMBIA, SC 29201-2943
COLUMBIA, SC 29204
COLUMBIA, SC 29203-9611
COLUMBIA, SC 29210
COLUMBIA, SC 29210-4016
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Licensed Beds:
Licensed Beds:
Licensed Beds:
Licensed Beds:
Licensed Beds:
General:
General:
General:
General:
General:
579
258
74
14
8
Psychiatric:
Psychiatric:
Psychiatric:
Psychiatric:
Psychiatric:
52
0
0
0
0
Rehab:
Rehab:
Rehab:
Rehab:
Rehab:
0
0
0
0
0
Substance Abuse:
Substance Abuse:
Substance Abuse:
Substance Abuse:
Substance Abuse:
10
0
0
0
0
Other Beds :
Other Beds :
Other Beds :
Other Beds :
Other Beds :
NICU:
NICU:
NICU:
NICU:
NICU:
31
0
0
0
0
Neonatal Special Care:
Neonatal Special Care:
Neonatal Special Care:
Neonatal Special Care:
Neonatal Special Care:
38
0
0
0
0
PALMETTO HEALTH
PROVIDENCE HOSPITAL LLC
PROVIDENCE HOSPITAL LLC
CORRECT CARE OF SOUTH CAROLINA LLC
SC DEPARTMENT OF JUVENILE JUSTICE
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Abortions, Trauma Center Level I, Perinatal Level III Regional, JCAHO Accredited
JCAHO Accredited
JCAHO Accredited
None
None
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
32 hlfactcc.rdf
RichlandCounty:
Hospital or Institutional General InfirmaryFacility Type:
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 14 Number Licensed Units: 2,509
Totals For Facility/License Type: Hospital or Institutional General Infirmary
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
33 hlfactcc.rdf
RichlandCounty:
Inhome Care ProviderFacility Type:
A TREE OF LIFE HOME CARE SVC
ABOUNDING ANGELS HEALTH CARE LLC
ACCESS HEALTH CARE SERVICES INC OF COLUMBIA
ACTIKARE
ACTS: OF LOVE HOME CARE AGENCY
ADDUS HOME CARE - COLUMBIA
ALL STATE HOME CARE LLC
ALLSTAR LLC
PH#:
PH#:
PH#:
PH#:
ROBERTSON DIMETRIUS PH#: 803-622-3813
PH#:
PH#:
PH#:
- 1
- 1
- 1
- 1
- 1
- 1
- 1
- 1
6941 N TRENHOLM RD STE F-105
9153C TWO NOTCH RD
106 DOCTOR CIR
354 POETS WALK
101 RICE BENT WAY UNIT 3
1612 MARION ST STE 103
2000 MOCKINGBIRD RD
1411 RIVERWALK WAY
Richland / Limited Liability
Richland / Limited Liability
Richland / Corporation
Richland / Limited Liability
Richland / Limited Liability
Richland / Corporation
Richland / Limited Liability
Richland / Limited Liability
IHCP-0728 / 06/30/2019
IHCP-0279 / 08/31/2019
IHCP-0110 / 04/30/2019
IHCP-0355 / 05/31/2019
IHCP-0700 / 06/30/2019
IHCP-0195 / 06/30/2019
IHCP-0198 / 06/30/2019
IHCP-0736 / 11/30/2018 (Renewal Pending)
COLUMBIA, SC 29206 FAC.#:803-828-4473
COLUMBIA, SC 29223-5832 FAC.#:803-223-9178
COLUMBIA, SC 29203-6503 FAC.#:803-509-8206
IRMO, SC 29063 FAC.#:803-238-2968
COLUMBIA, SC 29229 FAC.#:803-661-9642
COLUMBIA, SC 29201-2939 FAC.#:803-758-4000
COLUMBIA, SC 29204-3123 FAC.#:803-351-7554
IRMO, SC 29063 FAC.#:803-522-8858
11 OBERON PL
PO BOX 23659
PO BOX 3580
354 POETS WALK
1 SWEET KNOLL CT
2300 WARRENVILLE RD STE 100
2000 MOCKINGBIRD RD
1411 RIVERWALK WAY
COLUMBIA, SC 29223
COLUMBIA, SC 29224-3659
COLUMBIA, SC 29230-3580
IRMO, SC 29063
COLUMBIA, SC 29229
DOWNERS GROVE, IL 60515-1700
COLUMBIA, SC 29204-3123
IRMO, SC 29063
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
TREE OF LIFE IN-HOME CARE AND SVCS LLC
TROY D BELTON
ACCESS HEALTH CARE SERVICES INC
ALIGNED CONSULTING LLC
ACTS: OF LOVE HOME CARE AGENCY LLC
ADDUS HEALTHCARE (SOUTH CAROLINA) INC DBA ADDUS HOME CARE
ALL STATE HOME CARE LLC
ALLSTAR HOME HEALTH LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
34 hlfactcc.rdf
RichlandCounty:
Inhome Care ProviderFacility Type:
ALWAYS BEST CARE OF THE MIDLANDS
AMERICARE LLC
ANDERSON HOME CARE
ANNI B'S IN HOME CARE
ASSISTED CARE SERVICES INC
BAYADA HOME CARE - COLUMBIA INC
BENEVOLANCE HOME CARE
BRIGHTSTAR CARE OF COLUMBIA
PH#:
PH#:
PH#:
PH#:
KILGORE ANNA J PH#: 803-400-1601
PH#:
PH#:
NEELEY BRIAN PH#: 803-772-2222
- 1
- 1
- 1
- 1
- 1
- 1
- 1
- 1
3800 FOREST DR STE C-201
619 CHATHAM AVE
10 CRANLEY CT
1612 MARION ST STE 329
2700 MIDDLEBURG DR STE 217
900 ELMWOOD AVE STE 101 & 103
1322 KINGSVILLE RD
1701 DEVONSHIRE DR STE 102
Richland / Corporation
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Corporation
Richland / Corporation
Richland / Limited Liability
Richland /
IHCP-0058 / 01/31/2019
IHCP-0550 / 06/30/2019
IHCP-0715 / 07/31/2019
IHCP-0839 / 05/31/2019
IHCP-0602 / 12/31/2019
IHCP-0186 / 06/30/2019
IHCP-0935 / 11/30/2019
IHCP-0918 / 08/31/2019
COLUMBIA, SC 29204 FAC.#:803-403-1895
COLUMBIA, SC 29205 FAC.#:803-765-4616
COLUMBIA, SC 29229 FAC.#:888-513-5972
COLUMBIA, SC 29201 FAC.#:516-456-5445
COLUMBIA, SC 29204 FAC.#:803-400-1601
COLUMBIA, SC 29201 FAC.#:803-252-1004
GADSDEN, SC 29052 FAC.#:803-647-9321
COLUMBIA, SC 29204 FAC.#:803-760-0517
3800 FOREST DR STE C-201
619 CHATHAM AVE
10 CRANLEY CT
2700 MIDDLEBURG DR STE 217
1226 PICKENS ST STE 103
COLUMBIA, SC 29204
COLUMBIA, SC 29205
COLUMBIA, SC 29229
COLUMBIA, SC 29204
COLUMBIA, SC 29201
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
NLR SERVICES INC
AMERICARE LLC
ANDERSON HOME HEALTH CARE LLC
ANNI B'S IN HOME CARE LLC
ASSISTED CARE SERVICES INC
BAYADA HOME HEALTH CARE INC
THE H DOWDY & 13TH LLC
BEVERLY HOME HEALTHCARE SERVICES
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
35 hlfactcc.rdf
RichlandCounty:
Inhome Care ProviderFacility Type:
BROTHER2BROTHER HOMECARE SERVICES
CAMRYN'S VILLAGE
CAROLINA HEALTH CARE
CAROLINA IN HOME CARE & ASSISTANCE
CASANIA'S CARING HANDS
CHEERS TRANSITIONAL SERVICES CENTER INC
CIRCLE OF LIFE HOME CARE SERVICE
COMFORCARE OF THE MIDLANDS
PH#:
PHELPS LAHARTHA S PH#:
EDMONDS LAREECE PH#: 803-256-2728
PH#:
GLOVER LASHAUNDA PH#: 803-667-0699
MOUNTAIN JULIA PH#:
PH#:
PH#:
- 1
- 1
- 1
- 1
- 1
- 1
- 1
- 1
1 WINDSOR COVE STE 306
305 OLD BRASS DR
1403 CALHOUN ST
2210 ROSEWOOD DR
1113 BELLEVIEW ST STE 105
421 BUSH RIVER RD UNIT 208
1919 HAMPTON ST
22 OFFICE PARK CT STE C
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Corporation
Richland / Limited Liability
Richland / Corporation
IHCP-0297 / 07/31/2019
IHCP-0814 / 03/31/2019
IHCP-0745 / 05/31/2019
IHCP-0147 / 05/31/2019
IHCP-0627 / 01/31/2019
IHCP-0324 / 08/31/2019
IHCP-0804 / 12/31/2018 (Renewal Pending)
IHCP-0236 / 07/31/2019
COLUMBIA, SC 29223 FAC.#:803-699-2226
COLUMBIA, SC 29229 FAC.#:803-888-0482
COLUMBIA, SC 29201 FAC.#:803-256-2728
COLUMBIA, SC 29205-3743 FAC.#:803-318-4276
COLUMBIA, SC 29201 FAC.#:803-667-0699
COLUMBIA, SC 29210-7333 FAC.#:803-727-2572
COLUMBIA, SC 29201 FAC.#:803-806-5533
COLUMBIA, SC 29223-5965 FAC.#:803-764-0231
PO BOX 23806
1643 B SAVANNAH HWY STE 205
2210 ROSEWOOD DR
421 BUSH RIVER RD
22 OFFICE PARK CT STE C
COLUMBIA, SC 29223
CHARLESTON, SC 29407
COLUMBIA, SC 29205-3743
COLUMBIA, SC 29210
COLUMBIA, SC 29223-5965
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
BROTHER2BROTHER LLC
CAMRYN'S VILLAGE LLC
HALE OLA LLC
CBX ONE-STOP LLC
CASANIA'S CARING HANDS LLC
CHEERS TRANSITIONAL SERVICES CENTER INC
CIRCLE OF LIFE HOME CARE SERVICE LLC
BOOKIEBUGS INC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
36 hlfactcc.rdf
RichlandCounty:
Inhome Care ProviderFacility Type:
COMPLETE HOME CARE SERVICES LLC
CONNECTED HEARTS HOME CARE LLC
CORPORATE CARE LLC-COLUMBIA
CREATIVE HOME CARE LLC
DEVOTED CARE AND TRANSITION SERVICES LLC
ESPEY HOME CARE LLC
FIRST PRIORITY HOME CARE LLC
GENTLE HEARTS IN HOME CARE INC
PH#:
CLAIBOURN LANESE N PH#:
PH#:
PH#:
PH#:
LOGAN ANGELA PH#: 803-851-5973
PH#:
METTS-SHEFFIELD RHONDA PH#: 803-750-6200
- 1
- 1
- 1
- 1
- 1
- 1
- 1
- 1
5223 TWO NOTCH RD STE 1
3924 FOREST DR STE 9
1620 BROAD RIVER RD
7356 GARNERS FERRY RD STE 212
2821 ASHLAND RD STE C
1720 DEVONSHIRE DR APT 324
111 WILDEWOOD PARK DR
1345 GARNER LN 301
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Corporation
IHCP-0511 / 08/31/2019
IHCP-0311 / 08/31/2019
IHCP-0288 / 08/31/2019
IHCP-0332 / 11/30/2019
IHCP-0117 / 04/30/2019
IHCP-0936 / 12/31/2019
IHCP-0099 / 04/30/2019
IHCP-0327 / 09/30/2019
COLUMBIA, SC 29204-2940 FAC.#:803-391-8843
COLUMBIA, SC 29204 FAC.#:844-443-9500
COLUMBIA, SC 29210 FAC.#:803-403-1986
COLUMBIA, SC 29209-2146 FAC.#:803-776-9105
COLUMBIA, SC 29210 FAC.#:803-764-1163
COLUMBIA, SC 29204 FAC.#:803-851-5973
COLUMBIA, SC 29223 FAC.#:803-661-8805
COLUMBIA, SC 29210 FAC.#:803-750-6200
PO BOX 24642
3924 FOREST DR STE 9
PO BOX 16148
7356 GARNERS FERRY RD STE 212
2821 ASHLAND RD STE C
PO BOX 23781
1345 GARNER LN 301
COLUMBIA, SC 29224-4642
COLUMBIA, SC 29204
GREENVILLE, SC 29606-7148
COLUMBIA, SC 29209-2146
COLUMBIA, SC 29210
COLUMBIA, SC 29224
COLUMBIA, SC 29210
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
COMPLETE HOME CARE SERVICES LLC
NIGHTINGALE COMMUNITY HOME CARE LLC
CORPORATE CARE LLC
CREATIVE HOME CARE LLC
DEVOTED CARE AND TRANSITION SERVICES LLC
ESPEY HOME CARE LLC
FIRST PRIORITY HOME CARE LLC
GENTLE HEARTS HOME CARE INC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
37 hlfactcc.rdf
RichlandCounty:
Inhome Care ProviderFacility Type:
GOOD DEEDS HOME CARE LLC
GRACIOUS HANDS HOME CARE LLC
HEALTHCARE ETC LLC
HEARTFELT HOME CARE LLC
HEAVEN SENT HELPERS LLC
HELPING HANDS CAREGIVERS LLC
HOLISTIC HEALTH ADVANCEMENTS
HOME INSTEAD SENIOR CARE OF COLUMBIA
PH#:
SANDERS DEE PH#: 803-730-3006
SQUIREWELL VALARIE PH#: 803-708-4750
PH#:
PH#:
MUIR ANDRE PH#:
MULLINS MELISSA PH#: 803-205-5395
EDMONDS JASON T PH#: 864-879-7311
- 1
- 1
- 1
- 1
- 1
- 1
- 1
- 1
3905 W BELTLINE BLVD
108 COPPER RIDGE RD
7340 PARKLANE RD STE 101
6236 ST ANDREWS RD STE 2
1825 SAINT JULIAN PL STE F3
9400 TWO NOTCH RD STE C
9005 TWO NOTCH RD STE 4
9367 TWO NOTCH RD STE C
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Corporation
IHCP-0168 / 05/31/2019
IHCP-0626 / 09/30/2019
IHCP-0639 / 10/31/2019
IHCP-0560 / 05/31/2019
IHCP-0169 / 05/31/2019
IHCP-0156 / 05/31/2019
IHCP-0969 / 12/31/2019
IHCP-0869 / 07/31/2019
COLUMBIA, SC 29204 FAC.#:803-764-4750
COLUMBIA, SC 29212 FAC.#:803-730-3006
COLUMBIA, SC 29223 FAC.#:803-708-4750
COLUMBIA, SC 29212 FAC.#:803-331-3391
COLUMBIA, SC 29204-2424 FAC.#:803-446-3151
COLUMBIA, SC 29223-5946 FAC.#:803-699-1016
COLUMBIA, SC 29223 FAC.#:803-205-5395
COLUMBIA, SC 29223-6450 FAC.#:803-736-4242
3905 W BELTLINE BLVD
108 COPPER RIDGE RD
7340 PARKLANE RD STE 101
6236 ST ANDREWS RD STE 2
1825 SAINT JULIAN PL STE F3
9400 TWO NOTCH RD STE C
COLUMBIA, SC 29204
COLUMBIA, SC 29212
COLUMBIA, SC 29223
COLUMBIA, SC 29212
COLUMBIA, SC 29204-2424
COLUMBIA, SC 29223-5946
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
THE HAVENS ENTERPRISE LLC
GRACIOUS HANDS HOME CARE LLC
HEALTHCARE ETC LLC
HEARTFELT HOME CARE LLC
HEAVEN SENT HELPERS LLC
HELPING HANDS CAREGIVERS LLC
HOLISTIC HEALTH ADVANCEMENTS LLC
BJRSC INC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
38 hlfactcc.rdf
RichlandCounty:
Inhome Care ProviderFacility Type:
HOME WATCH CAREGIVERS OF COLUMBIA
INFINITY ONE HEALTHCARE
INTERIM HEALTHCARE-COLUMBIA
KARING IN MIND LLC
KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY
(KALEF)
LIGHTHOUSE PROFESSIONAL STAFFING INC
LIVE LOVE & LAUGH - HOME CARE SERVICES
LOVE & CARE HOME CARE AGENCY
THURMOND TERESA PH#: 803-708-2252
PH#:
PH#:
PH#:
PH#:
PH#:
PH#:
PH#:
- 1
- 1
- 1
- 1
- 1
- 1
- 1
- 1
115 ATRIUM WAY STE 211
3031 SCOTSMAN RD STE 5
1103 BELLEVIEW ST STE 103
7356 GARNERS FERRY RD STE 113
1941 DECKER BLVD
4500 FORT JACKSON BLVD
5 LIPPWELL CT
7357 PARKLANE RD
Richland / Limited Liability
Richland / Corporation
Richland / Limited Liability
Richland /
Richland / Sole Proprietorship
Richland / Corporation
Richland /
Richland / Limited Liability
IHCP-0927 / 09/30/2019
IHCP-0395 / 04/30/2019
IHCP-0116 / 04/30/2019
IHCP-0072 / 03/31/2019
IHCP-0158 / 05/31/2019
IHCP-0190 / 06/30/2019
IHCP-0876 / 06/30/2019
IHCP-0083 / 03/31/2019
COLUMBIA, SC 29223 FAC.#:803-339-8899
COLUMBIA, SC 29223 FAC.#:803-465-9085
COLUMBIA, SC 29201-1871 FAC.#:843-569-5510
COLUMBIA, SC 29209-2146 FAC.#:803-783-6039
COLUMBIA, SC 29206-3470 FAC.#:803-736-5872
COLUMBIA, SC 29209 FAC.#:803-782-1008
COLUMBIA, SC 29229 FAC.#:803-361-7797
COLUMBIA, SC 29223-7615 FAC.#:803-708-4730
PO BOX 362
1103 BELLEVIEW ST STE 103
136 FIELD PINE AVE
1941 DECKER BLVD
PO BOX 90506
7357 PARKLANE RD
COLUMBIA, SC 29202-0362
COLUMBIA, SC 29201-1871
HOPKINS, SC 29061
COLUMBIA, SC 29206-3470
CHARLESTON, SC 29410
COLUMBIA, SC 29223-7615
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
WHERE IT MATTERS LLC
INFINITY ONE CORPORATION INC
LOWCOUNTRY NURSING GROUP LLC
KARING IN MIND LLC
KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY (KALEF)
LIGHTHOUSE PROFESSIONAL STAFFING INC
LIVE LOVE & LAUGH - HOME CARE SERVICES LLC
LOVE & CARE HOME HEALTHCARE AGENCY LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
39 hlfactcc.rdf
RichlandCounty:
Inhome Care ProviderFacility Type:
METRO HOME CARE LLC
NEW BRIDGE HOMECARE SERVICES LLC
NEW HOME CARE LLC
NURSES ARE US INC
PALMETTO CARE BEARS
PALMETTO HEALTH PRIVATE SERVICES
PALMETTO PERSONAL & SENIOR CARE
PALMETTO SOUTHERN COMFORT RESIDENTIAL CARE
DUPONT LISA PH#: 803-731-4400
PH#:
PH#:
PH#:
JOHNSON GERARD PH#: 803-569-0641
HEFLIN FRANK G PH#: 803-296-3100
PH#:
PH#:
- 1
- 1
- 1
- 1
- 1
- 1
- 1
- 1
1509 LADY ST STE B & G
7340 PARKLANE RD STE 202-B
104 MANN RD
3309 N MAIN ST
117 ALPINE CIR STE 600-B
1400 PICKENS ST
16 WILLOW WIND LN
3031 SCOTSMAN RD STE 16
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Corporation
Richland / Limited Liability
Richland / Corporation
Richland / Limited Liability
Richland / Limited Liability
IHCP-0631 / 12/31/2018 (Renewal Pending)
IHCP-0665 / 01/31/2019
IHCP-0489 / 11/30/2019
IHCP-0417 / 07/31/2019
IHCP-0697 / 03/31/2019
IHCP-0067 / 02/28/2019
IHCP-0726 / 06/30/2019
IHCP-0939 / 10/31/2019
COLUMBIA, SC 29201 FAC.#:803-253-8800
COLUMBIA, SC 29223 FAC.#:803-814-2493
COLUMBIA, SC 29223-8017 FAC.#:803-767-3374
COLUMBIA, SC 29203 FAC.#:803-799-3999
COLUMBIA, SC 29223 FAC.#:803-569-0641
COLUMBIA, SC 29201-3465 FAC.#:803-296-3100
HOPKINS, SC 29061 FAC.#:803-828-3231
COLUMBIA, SC 29223 FAC.#:803-369-2133
1509 LADY ST STE B & G
7340 PARKLANE RD STE 202-B
104 MANN RD
3309 N MAIN ST
120 PALMETTO PARK CIR
PO BOX 7275
16 WILLOW WIND LN
COLUMBIA, SC 29201
COLUMBIA, SC 29223
COLUMBIA, SC 29223-8017
COLUMBIA, SC 29203
COLUMBIA, SC 29229
COLUMBIA, SC 29202-7275
HOPKINS, SC 29061
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
METRO HOME CARE LLC
NEW BRIDGE HOMECARE SERVICES LLC
NEW HOME CARE LLC
NURSES ARE US INC
PALMETTO CARE BEARS HOME HEALTH CARE LLC
PALMETTO HEALTH
PALMETTO PERSONAL AND SENIOR CARE LLC
PALMETTO SOUTHERN COMFORT RESIDENTIAL CARE LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
40 hlfactcc.rdf
RichlandCounty:
Inhome Care ProviderFacility Type:
PATRICIA
PRECIOUS HOME CARE SERVICES
PREMIER HOME CARE
PROCARE HOME CARE
QUALITY CARE SERVICES
RESCARE HOMECARE COLUMBIA
RESILIENCE HOMECARE
REST ASSURED LLC
PH#:
PH#:
LOUIS-JEAN PASCALE PH#: 803-708-2405
GREENE ANGELINA PH#: 803-708-7100
PH#:
YOUNG SHIRLEY PH#:
PH#:
PH#:
- 1
- 1
- 1
- 1
- 1
- 1
- 1
- 1
1332 MAIN ST STE 218
7356 GARNERS FERRY RD STE 119
8311 TWO NOTCH RD
1624 DECKER BLVD
5210 TWO NOTCH RD STE A
455 SAINT ANDREWS RD BLDG A STE 1
204 LAWAND DR
101 RICE BENT WAY STE 8
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Corporation
Richland / Corporation
Richland / Corporation
Richland / Limited Liability
Richland / Limited Liability
IHCP-0827 / 01/31/2019
IHCP-0143 / 05/31/2019
IHCP-0788 / 12/31/2018 (Renewal Pending)
IHCP-0657 / 01/31/2020
IHCP-0212 / 06/30/2019
IHCP-0170 / 06/30/2019
IHCP-0077 / 03/31/2019
IHCP-0238 / 07/31/2019
COLUMBIA, SC 29201 FAC.#:803-542-7776
COLUMBIA, SC 29209-2146 FAC.#:803-708-0716
COLUMBIA, SC 29223 FAC.#:803-708-2405
COLUMBIA, SC 29206 FAC.#:803-708-7100
COLUMBIA, SC 29204-2942 FAC.#:803-786-5919
COLUMBIA, SC 29210-4487 FAC.#:803-772-3060
COLUMBIA, SC 29210 FAC.#:803-667-9921
COLUMBIA, SC 29229-6850 FAC.#:803-865-8113
1332 MAIN ST STE 218
7356 GARNERS FERRY RD STE 119
18 KEENELAND TRAIL
1624 DECKER BLVD
PO BOX 25215
455 SAINT ANDREWS RD BUILDING A STE 1
204 LAWAND DR
101 RICE BENT WAY STE 8
COLUMBIA, SC 29201
COLUMBIA, SC 29209-2146
BLYTHEWOOD, SC 29016
COLUMBIA, SC 29206
COLUMBIA, SC 29224-5215
COLUMBIA, SC 29210
COLUMBIA, SC 29210
COLUMBIA, SC 29229-6850
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
PATRICIA LLC
PRECIOUS HOME CARE SERVICES
PREMIER HOME CARE LLC
PROCARE HOMECARE INC
QUALITY CARE SERVICES INC
SOUTHERN HOME CARE SERVICES INC
RESILIENCE HOMECARE LLC
REST ASSURED LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
41 hlfactcc.rdf
RichlandCounty:
Inhome Care ProviderFacility Type:
RESTORATIVE HEALTH SERVICES OF SC LLC
ROBINSON S HEALING - HEARTS ASSISTED LIVING LLC
SENIOR MATTERS EXTENDED SERVICES
SENIOR RESOURCES
SHADES OF LIFE LLC
SHELIA'S HELPING HANDS
SITTING WITH AN ANGEL
SOUTH CAROLINA HOME CARE PROVIDER
PH#:
PH#:
MILLER KATHERINE PH#:
PH#:
ROBINSON CAROLYN PH#: 803-667-9819
PH#:
PH#:
MATHUR BHAWANA PH#:
- 1
- 1
- 1
- 1
- 1
- 1
- 1
- 1
2 OFFICE PARK CT STE 201C
7340 PARKLANE RD
3710 LANDMARK DR STE 109
2817 MILLWOOD AVE
1400 LAUREL ST STE 2
19 EASTBOURNE CT
455 ST ANDREWS RD BLDG D STE 4C
7340 PARKLANE RD STE 204C
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Corporation
Richland / Limited Liability
Richland / Limited Liability
Richland / Sole Proprietorship
Richland / Corporation
IHCP-0435 / 09/30/2019
IHCP-0437 / 04/30/2019
IHCP-0443 / 09/30/2019
IHCP-0059 / 02/28/2019
IHCP-0295 / 08/31/2019
IHCP-0938 / 12/31/2019
IHCP-0628 / 09/30/2019
IHCP-0389 / 10/31/2019
COLUMBIA, SC 29223-5966 FAC.#:803-828-4554
COLUMBIA, SC 29223 FAC.#:803-509-4769
COLUMBIA, SC 29204 FAC.#:803-779-1181
COLUMBIA, SC 29205-1261 FAC.#:803-252-7734
COLUMBIA, SC 29201 FAC.#:803-667-9819
COLUMBIA, SC 29223 FAC.#:803-587-1008
COLUMBIA, SC 29210 FAC.#:803-851-7268
COLUMBIA, SC 29223-7644 FAC.#:803-606-8289
2 OFFICE PARK CT STE 102
PO BOX 3991
3710 LANDMARK DR STE 109
2817 MILLWOOD AVE
1400 LAUREL ST STE 2
455 ST ANDREWS RD BLDG D STE 4C
1 DUNNOCK CT
COLUMBIA, SC 29223-5966
WEST COLUMBIA, SC 29171-3991
COLUMBIA, SC 29204
COLUMBIA, SC 29205-1261
COLUMBIA, SC 29202
COLUMBIA, SC 29210
COLUMBIA, SC 29229-9525
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
RESTORATIVE HEALTH SERVICES OF SC LLC
ROBINSON S HEALING - HEARTS ASSISTED LIVING LLC
SENIOR MATTERS EXTENDED SERVICES LLC
SENIOR RESOURCES INC
SHADES OF LIFE LLC
SHELIA'S HELPING HANDS LLC
THOMPSON ANDRENA
HINDH CORPORATION
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
42 hlfactcc.rdf
RichlandCounty:
Inhome Care ProviderFacility Type:
TAILORED LIFE CARE
TENDER KARE SERVICES II LLC
PH#:
PH#:
- 1
- 1
108 GLENEAGLE CIR
3905 W BELTLINE BLVD STE 5
Richland / Limited Liability
Richland / Limited Liability
IHCP-0841 / 03/31/2019
IHCP-0469 / 12/31/2018 (Renewal Pending)
IRMO, SC 29063 FAC.#:803-240-8591
COLUMBIA, SC 29204 FAC.#:803-638-9993
108 GLENEAGLE CIR
4443 BETHEL CHURCH RD APT 37
IRMO, SC 29063
COLUMBIA, SC 29206-1264
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 74 Number Licensed Units: - 74
TAILORED LIFE CARE LLC
TENDER KARE SERVICES II LLC
Totals For Facility/License Type: Inhome Care Provider
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
43 hlfactcc.rdf
RichlandCounty:
Nursing HomeFacility Type:
C M TUCKER JR NURSING CARE CENTER FEWELL AND STONE
PAVILIONS
C M TUCKER JR NURSING CARE CENTER RODDEY PAVILION
COUNTRYWOOD NURSING CENTER
HEARTLAND OF COLUMBIA REHABILITATION AND NURSING
CENTER
MORGAN ROBERT PH#: 803-737-5399
JONES TED P PH#: 803-737-5301
HUNT JOSEPH R PH#: 803-776-3873
JENKINS HAZEL B PH#: 803-256-4983
252
308
38
132
2200 HARDEN ST
2200 HARDEN ST
1645 RIDGE RD
2601 FOREST DR
Richland / State
Richland / State
Richland / Ltd. Liability
Richland / Limited Liability
NCF-0334 / 12/31/2019
NCF-0726 / 12/31/2018 (Renewal Pending)
NCF-0946 / 11/30/2019
NCF-0316 / 12/31/2019
COLUMBIA, SC 29203-7199 FAC.#:803-737-5399
COLUMBIA, SC 29203-7199 FAC.#:803-737-5301
HOPKINS, SC 29061-8432 FAC.#:803-776-3873
COLUMBIA, SC 29204-2363 FAC.#:803-256-4983
2200 HARDEN ST
2200 HARDEN ST
1645 RIDGE RD
2601 FOREST DR
COLUMBIA, SC 29203-7199
COLUMBIA, SC 29203-7199
HOPKINS, SC 29061-8432
COLUMBIA, SC 29204-2363
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Licensed Beds:
Licensed Beds:
Licensed Beds:
Licensed Beds:
Nursing Home:
Nursing Home:
Nursing Home:
Nursing Home:
252
308
38
132
Institutional Nursing Home:
Institutional Nursing Home:
Institutional Nursing Home:
Institutional Nursing Home:
0
0
0
0
SC DEPARTMENT OF MENTAL HEALTH
SC DEPARTMENT OF MENTAL HEALTH
COUNTRYWOOD NURSING CENTER LLC
COLUMBIA REHABILITATION AND NURSING CENTER - COLUMBIA SC LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
No
No
No
No
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
No
No
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
0
0
0
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
44 hlfactcc.rdf
RichlandCounty:
Nursing HomeFacility Type:
HERITAGE AT LOWMAN REHABILITATION AND HEALTHCARE
LIFE CARE CENTER OF COLUMBIA
MIDLANDS HEALTH & REHABILITATION CENTER
NHC HEALTHCARE PARKLANE
HYMAN ASHLEY PH#: 803-732-3000
STUDNICKA STEPHANIE D PH#: 803-865-1999
STANLEY MATT PH#: 803-699-4111
ARGO MELISSA B PH#: 803-741-9090
176
179
88
180
201 FORTRESS DR
2514 FARAWAY DR
1007 N KINGS ST
7601 PARKLANE RD
Richland / Non-Profit Corporation
Richland / Corporation
Richland / Ltd. Liability
Richland / Ltd. Liability
NCF-0688 / 05/31/2019
NCF-0634 / 06/30/2019
NCF-0868 / 08/31/2019
NCF-0797 / 06/30/2019
CHAPIN, SC 29036 FAC.#:803-732-3000
COLUMBIA, SC 29223-3969 FAC.#:803-865-1999
COLUMBIA, SC 29223-1916 FAC.#:803-699-4111
COLUMBIA, SC 29223-6122 FAC.#:803-741-9090
PO BOX 444
2514 FARAWAY DR
1007 N KINGS ST
7601 PARKLANE RD
WHITE ROCK, SC 29177-0444
COLUMBIA, SC 29223-3969
COLUMBIA, SC 29223-1916
COLUMBIA, SC 29223-6122
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Licensed Beds:
Licensed Beds:
Licensed Beds:
Licensed Beds:
Nursing Home:
Nursing Home:
Nursing Home:
Nursing Home:
176
179
88
180
Institutional Nursing Home:
Institutional Nursing Home:
Institutional Nursing Home:
Institutional Nursing Home:
0
0
0
0
LUTHERAN HOMES OF SOUTH CAROLINA INC
RCM-COLUMBIA INC
THI OF SOUTH CAROLINA AT COLUMBIA LLC
NHC HEALTHCARE/PARKLANE LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
No
No
No
Yes
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
No
Yes
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
0
0
0
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
45 hlfactcc.rdf
RichlandCounty:
Nursing HomeFacility Type:
PRUITTHEALTH-BLYTHEWOOD
PRUITTHEALTH-COLUMBIA
RICE ESTATE REHABILITATION AND HEALTHCARE
WHITE OAK MANOR COLUMBIA
WASHBURN YVONNE PH#: 803-382-2300
LEE PATRICIA PH#: 803-254-5960
REAVIS LISA D PH#: 803-691-5720
NEAL MICHAEL S PH#: 803-782-4363
120
185
80
120
1075 HEATHER GREEN DR
2451 FOREST DR
100 FINLEY RD
3001 BEECHAVEN RD
Richland / Corporation
Richland / Limited Liability
Richland / Non-Profit Corporation
Richland / Corporation
NCF-0959 / 08/31/2019
NCF-0880 / 01/31/2019
NCF-0831 / 05/31/2019
NCF-0886 / 12/31/2019
COLUMBIA, SC 29229-7831 FAC.#:803-382-2300
COLUMBIA, SC 29204-2026 FAC.#:803-254-5960
COLUMBIA, SC 29203-9264 FAC.#:803-691-5720
COLUMBIA, SC 29204-2701 FAC.#:803-782-4363
1075 HEATHER GREEN DR
2451 FOREST DR
100 FINLEY RD
3001 BEECHAVEN RD
COLUMBIA, SC 29229-7831
COLUMBIA, SC 29204-2026
COLUMBIA, SC 29203-9264
COLUMBIA, SC 29204-2701
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Licensed Beds:
Licensed Beds:
Licensed Beds:
Licensed Beds:
Nursing Home:
Nursing Home:
Nursing Home:
Nursing Home:
120
185
80
120
Institutional Nursing Home:
Institutional Nursing Home:
Institutional Nursing Home:
Institutional Nursing Home:
0
0
0
0
OAKS OF BLYTHEWOOD INC
PRUITTHEALTH-COLIMBIA LLC
LUTHERAN HOMES OF SOUTH CAROLINA INC
WHITE OAK MANOR COLUMBIA INC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
No
No
No
No
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
No
No
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
0
0
0
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
46 hlfactcc.rdf
RichlandCounty:
Nursing HomeFacility Type:
WILDEWOOD DOWNS NURSING AND REHABILITATION CENTER
CHAVIS DIANA L PH#: 803-788-5115
80
731 POLO RD
Richland / Ltd. Liability
NCF-0914 / 12/31/2019
COLUMBIA, SC 29223-4462 FAC.#:803-788-5115
731 POLO RD
COLUMBIA, SC 29223-4462
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Licensed Beds: Nursing Home: 80 Institutional Nursing Home: 0
Number of Activities/Facilities licensed: 13 Number Licensed Units: 1,938
WILDEWOOD DOWNS RETIREMENT LLC
Totals For Facility/License Type: Nursing Home
Facility Email: [email protected]
Licensed
Units
Certifications:
Alzheimer Care:
None
NoAlzheimer Unit:No Max # Resident: Max # Beds:0 0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
47 hlfactcc.rdf
RichlandCounty:
PSAD InpatientFacility Type:
LEXINGTON/RICHLAND ALCOHOL & DRUG ABUSE/DETOX UNIT
MARTIN JEREMY D PH#:
16
2711 COLONIAL DR
Richland / Non-Profit Corporation
ITP-0009 / 05/31/2019
COLUMBIA, SC 29203-6818 FAC.#:803-726-9300
PO BOX 50597
COLUMBIA, SC 29250-0597
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 1 Number Licensed Units: 16
Licensed Beds:Medical Detox: 16 Social Detox: 0 Res. Trestment Program: 0
LEXINGTON-RICHLAND ALCOHOL AND DRUG ABUSE COUNCIL INC
Totals For Facility/License Type: PSAD Inpatient
Facility Email: [email protected]
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
48 hlfactcc.rdf
RichlandCounty:
PSAD OutpatientFacility Type:
ALTERNATIVES LIFE IMPROVEMENT CENTER-COLUMBIA
CROSSROADS TREATMENT CENTER OF COLUMBIA
FIFTH JUDICIAL CIRCUIT SOLICITOR'S OFFICE TREATMENT
PROGRAM
INSIGHTS EDUCATIONAL AND TREATMENT SERVICES
LEXINGTON RICHLAND CENTER FOR SUBSTANCE ABUSE &
BEHAVIORIAL PROGRAM
LEXINGTON-RICHLAND ALCOHOL AND DRUG ABUSE COUNCIL
SUDDETH JUSTIN PH#:
CROVELL EBONY PH#: 803-733-5855
BILTON WILLIAM PH#:
COLE RICHARD M PH#: 803-750-8444
MCFADDEN HENRY P PH#: 803-740-9298
MARTIN JEREMY D PH#:
1
1
1
2
1
2
1620 LADY ST UNIT B
1421 BLUFF RD
1716 MAIN ST
1441 SAINT ANDREWS RD
1105 BELLEVIEW ST STE 101
2711 COLONIAL DR
Richland / Corporation
Richland / Professional Corporation
Richland / County
Richland / Corporation
Richland / Sole Proprietorship
Richland / Non-Profit Corporation
OTP-0116 / 11/30/2019
OTPN-0109 / 03/31/2019
OTP-0122 / 07/31/2019
OTP-0011 / 07/31/2019
OTP-0097 / 06/30/2019
OTP-0012 / 07/31/2019
COLUMBIA, SC 29201-2967 FAC.#:803-252-4111
COLUMBIA, SC 29201-4809 FAC.#:803-733-5855
COLUMBIA, SC 29201 FAC.#:803-576-1893
COLUMBIA, SC 29210-5929 FAC.#:803-750-8444
COLUMBIA, SC 29201-1868 FAC.#:803-740-9298
COLUMBIA, SC 29203-6818 FAC.#:803-726-9300
1410 BLANDING ST STE 101
105 N SPRING ST STE 109
PO BOX 192
1441 SAINT ANDREWS RD
PO BOX 8724
PO BOX 50597
COLUMBIA, SC 29201-2967
GREENVILLE, SC 29601-2859
COLUMBIA, SC 29202-0192
COLUMBIA, SC 29210-5929
COLUMBIA, SC 29202-8724
COLUMBIA, SC 29250-0597
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
ALTERNATIVES LIFE IMPROVEMENT CENTER INC
CROSSROADS TREATMENT CENTER OF COLUMBIA PC
FIFTH JUDICIAL CIRCUIT SOLICITOR'S OFFICE TREATMENT PROGRAM
INSIGHTS EDUCATIONAL AND TREATMENT SERVICES INC
MCFADDEN HENRY P
LEXINGTON-RICHLAND ALCOHOL AND DRUG ABUSE COUNCIL INC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
None
Narcotics Treatment Program, Methodone Treatment Program
None
None
None
None
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
49 hlfactcc.rdf
RichlandCounty:
PSAD OutpatientFacility Type:
PALMETTO HEALTH ADDICTION RECOVERY CENTER
PH#:
1
720 GRACERN RD STE 120
Richland / Non-Profit Corporation
OTP-0096 / 09/30/2019
COLUMBIA, SC 29210 FAC.#:803-296-6829
720 GRACERN RD STE 120
COLUMBIA, SC 29210
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 7 Number Licensed Units: 9
PALMETTO HEALTH
Totals For Facility/License Type: PSAD Outpatient
Facility Email: [email protected]
Licensed
Units
Certifications:None
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
50 hlfactcc.rdf
RichlandCounty:
Renal DialysisFacility Type:
BROAD RIVER DIALYSIS CENTER
CENTRAL COLUMBIA KIDNEY CENTER
COLUMBIA NORTHEAST KIDNEY CENTER
DENTSVILLE KIDNEY CENTER
FRESENIUS MEDICAL CARE COLUMBIA
FRESENIUS MEDICAL CARE COLUMBIA HOME DIALYSIS
PHILLIPS RN ADRIENNE PH#:
GRANT TIA G PH#: 803-771-0518
KAISER SANDRA PH#: 803-865-0554
MYERS ALTHERA L PH#: 803-865-1068
BALABAN VIRGIL PH#: 803-779-7511
LIVINGSTON EBONY PH#: 803-799-1266
12
25
22
10
30
2
4460 BROAD RIVER RD
3511 MEDICAL DR
7499 PARKLANE RD STE 136
201 COLUMBIA MALL BLVD STE 141
2125 ADAMS GROVE RD
121 PARK CENTRAL DR STE 101
Richland / State
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
ERD-0092 / 12/31/2019
ERD-0116 / 11/30/2019
ERD-0159 / 07/31/2019
ERD-0214 / 10/31/2019
ERD-0016 / 02/28/2019
ERD-0190 / 05/31/2019
COLUMBIA, SC 29210-4047 FAC.#:803-772-5397
COLUMBIA, SC 29203-6504 FAC.#:803-771-0518
COLUMBIA, SC 29223-7650 FAC.#:803-865-0554
COLUMBIA, SC 29223-7536 FAC.#:803-865-1068
COLUMBIA, SC 29203-7102 FAC.#:803-779-7511
COLUMBIA, SC 29203-6476 FAC.#:803-799-1266
PO BOX 21787
3511 MEDICAL DR
7499 PARKLANE RD STE 136
201 COLUMBIA MALL BLVD STE 141
2125 ADAMS GRV
121 PARK CENTRAL DR STE 101
COLUMBIA, SC 29221-1787
COLUMBIA, SC 29203-6504
COLUMBIA, SC 29223-7650
COLUMBIA, SC 29223-7536
COLUMBIA, SC 29203-7102
COLUMBIA, SC 29203-6476
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Licensed Stations:
Licensed Stations:
Licensed Stations:
Licensed Stations:
Licensed Stations:
Licensed Stations:
Hemodialysis:
Hemodialysis:
Hemodialysis:
Hemodialysis:
Hemodialysis:
Hemodialysis:
12
24
20
10
30
0
Peritoneal:
Peritoneal:
Peritoneal:
Peritoneal:
Peritoneal:
Peritoneal:
0
1
2
1
0
5
SC DEPT OF CORRECTIONS
CENTRAL COLUMBIA KIDNEY CENTER LLC
COLUMBIA NORTHEAST KIDNEY CENTER LLC
DENTSVILLE KIDNEY CENTER LLC
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS LLC
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
51 hlfactcc.rdf
RichlandCounty:
Renal DialysisFacility Type:
FRESENIUS MEDICAL CARE IRMO
FRESENIUS MEDICAL CARE LOWER RICHLAND
FRESENIUS MEDICAL CARE MEADOWLAKE
FRESENIUS MEDICAL CARE MIDTOWN
FRESENIUS MEDICAL CARE NORTH STAR
FRESENIUS MEDICAL CARE SOUTH COLUMBIA
REMBERT LAWANDA PH#: 803-749-7088
JAMES LAVONNE PH#: 803-695-3628
LANCASTER JESSICA PH#: 803-754-7377
YOUNG RN DEQUATA M PH#: 803-771-0107
LEWIS TE'ERICA PH#:
CARTER SAMONTRA PH#: 803-779-4073
21
20
21
33
21
21
1012 LYKES LN
1840 PINEVIEW DR
7631 WILSON BLVD
150 PARK CENTRAL DR
140 HIGHLAND CENTER DR
2139 ADAMS GRV RD
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
ERD-0117 / 02/28/2019
ERD-0076 / 02/28/2019
ERD-0100 / 02/28/2019
ERD-0078 / 02/28/2019
ERD-0216 / 01/31/2020
ERD-129 / 02/28/2019
IRMO, SC 29063-8444 FAC.#:803-749-7088
COLUMBIA, SC 29209-5085 FAC.#:803-695-3628
COLUMBIA, SC 29203-3020 FAC.#:803-754-7377
COLUMBIA, SC 29203 FAC.#:803-799-6355
COLUMBIA, SC 29203-9247 FAC.#:803-736-0473
COLUMBIA, SC 29203-7102 FAC.#:803-779-4073
1012 LYKES LN
1840 PINEVIEW DR
7631 WILSON BLVD
150 PARK CENTRAL DR
140 HIGHLAND CENTER DR
2139 ADAMS GRV RD
IRMO, SC 29063-8444
COLUMBIA, SC 29209-5085
COLUMBIA, SC 29203-3020
COLUMBIA, SC 29203
COLUMBIA, SC 29203-9247
COLUMBIA, SC 29203-7102
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Licensed Stations:
Licensed Stations:
Licensed Stations:
Licensed Stations:
Licensed Stations:
Licensed Stations:
Hemodialysis:
Hemodialysis:
Hemodialysis:
Hemodialysis:
Hemodialysis:
Hemodialysis:
21
20
21
30
21
21
Peritoneal:
Peritoneal:
Peritoneal:
Peritoneal:
Peritoneal:
Peritoneal:
0
0
0
3
0
0
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS LLC
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS LLC
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS LLC
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS LLC
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS LLC
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
52 hlfactcc.rdf
RichlandCounty:
Renal DialysisFacility Type:
NORTH MAIN KIDNEY CENTER
POSTON RN PAMELA G PH#: 803-779-1201
23
3900 N MAIN ST STE A
Richland / Limited Liability
ERD-0192 / 10/31/2019
COLUMBIA, SC 29203-6471 FAC.#:803-779-1201
3900 N MAIN ST
COLUMBIA, SC 29203-6471
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 13 Number Licensed Units: 261
Licensed Stations: Hemodialysis: 21 Peritoneal: 2
NORTH MAIN KIDNEY CENTER LLC
Totals For Facility/License Type: Renal Dialysis
Facility Email: [email protected]
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
53 hlfactcc.rdf
RichlandCounty:
Tattoo FacilityFacility Type:
3 ACES TATTOO
36 SOUTH TATTOO
737 GRAPHIC INK STUDIO
ANIMATED CANVAS CUSTOM TATTOO
BORN AGAIN TATTOO
COPPER FINCH TATTOO-NORTHEAST
DARK HORSE TATTOO
DEVINE STREET TATTOO
PH#:
PH#:
PH#:
ANIMATED CANVAS LLC PH#: 803-758-6002
HOLLEY-PATEL JOYA PH#:
ROBERTS EDDIE E PH#:
HAGEN FAY WILLARD PH#: 803-386-4097
CHESTON JONATHAN E PH#: 843-641-7250
4
5
2
4
3
5
6
5
8502 TWO NOTCH RD STE G
4051 BROAD RIVER RD STE B
113 BARTON CREEK CT STE C
1209 PARK ST
2002 GREENE ST UNIT D
10203 TWO NOTCH RD STE D
4422 DEVINE ST
4441 DEVINE ST
Richland /
Richland / Limited Liability
Richland /
Richland / Sole Proprietorship
Richland /
Richland / Limited Liability Company (single member)
Richland / Limited Liability
Richland / Partnership
TF-0305 / 03/31/2019
TF-0317 / 10/31/2019
TF-0295 / 12/31/2018 (Renewal Pending)
TF-0052 / 08/31/2019
TF-0275 / 10/31/2019
TF-0180 / 02/28/2019
TF-0133 / 12/31/2019
TF-0074 / 10/31/2019
COLUMBIA, SC 29223 FAC.#:803-764-4472
COLUMBIA, SC 29210-4003 FAC.#:803-569-6181
COLUMBIA, SC 29229 FAC.#:619-274-0850
COLUMBIA, SC 29201-3139 FAC.#:803-758-6002
COLUMBIA, SC 29205 FAC.#:803-636-1627
COLUMBIA, SC 29229 FAC.#:803-354-7700
COLUMBIA, SC 29205-3612 FAC.#:803-708-2942
COLUMBIA, SC 29205-3611 FAC.#:803-782-0753
8502 TWO NOTCH RD STE G
113 BARTON CREEK CT STE C
1209 PARK ST
2002 GREENE ST UNIT D
10203 TWO NOTCH RD STE D
PO BOX 32404
COLUMBIA, SC 29223
COLUMBIA, SC 29229
COLUMBIA, SC 29201-3139
COLUMBIA, SC 29205
COLUMBIA, SC 29229
CHARLESTON, SC 29417-2404
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
3 ACES TATTOO LLC
COPPER FINCH TATTOO CO LLC
737 GRAPHIC INK STUDIO LLC
ANIMATED CANVAS LLC
PATEL TATTOOS LLC
COPPER FINCH TATTOO LLC
VIKING VISIONARIES LLC
DEVINE STREET TATTOO INC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
COPPERFINCHTATTOO.YAHOO.COM
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
54 hlfactcc.rdf
RichlandCounty:
Tattoo FacilityFacility Type:
DIAMOND CUT TATTOO COMPANY
INDIGO ROSE TATTOO STUDIO
KNOTTY HEADZ TATTOO FACTORY
MAGNETIZM TATTOO
MAGNETIZM TATTOO NORTH
OUCH! TATTOOS
SICKLE AND MOON TATTOO
TATTOO TRILLIONAIRES
JENKINS JARRETT MCCOY PH#: 803-364-2241
PURVIS SHANNON PH#: 803-799-2844
RORIE WOODROW D PH#: 803-212-8349
COKLEY JAMES PH#: 803-419-4700
PH#:
GARENS ELIZABETH PH#: 803-397-8284
LEWIS JEREMY L PH#: 803-546-9957
DAVIS III WILLIE J PH#: 803-600-4973
4
3
3
5
3
2
5
5
4451 DEVINE ST
2009 GREENE ST STE 112
1608 DECKER BLVD STE A
7345 PARKLANE RD STE C
3506 N MAIN ST
10240 TWO NOTCH RD STE 4
2009 GREENE ST STE 106
7352 TWO NOTCH RD STE A
Richland / Sole Proprietorship
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
Richland / Limited Liability
TF-0169 / 08/31/2019
TF-0026 / 01/31/2019
TF-0040 / 05/31/2019
TF-0075 / 08/31/2019
TF-0320 / 08/31/2019
TF-0091 / 05/31/2019
TF-0167 / 04/30/2019
TF-0108 / 08/31/2019
COLUMBIA, SC 29205-3611 FAC.#:803-497-3980
COLUMBIA, SC 29205-1683 FAC.#:803-799-2844
COLUMBIA, SC 29206-5246 FAC.#:803-790-7029
COLUMBIA, SC 29223-7698 FAC.#:803-419-4700
COLUMBIA, SC 29203 FAC.#:803-722-4972
COLUMBIA, SC 29229-4217 FAC.#:803-397-8284
COLUMBIA, SC 29205-1683 FAC.#:803-546-9957
COLUMBIA, SC 29223-7620 FAC.#:803-699-0114
4451 DEVINE ST
2009 GREENE ST STE 112
1608 DECKER BLVD STE A
2155 LAKE CAROLINA DR
10240 TWO NOTCH RD STE 4
2009 GREENE ST STE 106
7352 TWO NOTCH RD STE A
COLUMBIA, SC 29205-3611
COLUMBIA, SC 29205-1683
COLUMBIA, SC 29206-5246
COLUMBIA, SC 29229
COLUMBIA, SC 29229-4217
COLUMBIA, SC 29205-1683
COLUMBIA, SC 29223-7620
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
PAGE EMANUEL B
INDIGO ROSE TATTOO STUDIO INC
KNOTTY HEADZ TATTOO FACTORY LLC
MAGNETIZM TATTOO LLC
MAGNETIZM TATTOO LLC
OUCH! LLC
SICKLE AND MOON TATTOO LLC
DAVIS & SON ENTERPRISES LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
January 9, 2019
55 hlfactcc.rdf
RichlandCounty:
Tattoo FacilityFacility Type:
VISION QUEST BODY ART & GALLERY
PHIPPS MICHAEL STEVEN PH#: 803-606-5826
3
2620 MAIN ST
Richland / Sole Proprietorship
TF-0172 / 09/30/2019
COLUMBIA, SC 29201-1726 FAC.#:803-542-7115
2620 MAIN ST
COLUMBIA, SC 29203
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 17 Number Licensed Units: 67
Number of Activities/Facilities licensed in county of :
Number Licensed Units : 7,386
VISION QUEST BODY ART & GALLERY LLC
Totals For Facility/License Type: Tattoo Facility
Total Number of Activities/Facilities licensed: 244 Total Number Licensed Units: 7,386
Report Totals
Richland 244# Lics:
Facility Email: [email protected]
Licensed
Units