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South Carolina Department of Health & Environmental Control Division of Health Licensing July 7, 2020 1 hlfactcc.rdf Greenville County: Abortion Clinic Facility Type: GREENVILLE WOMEN'S CLINIC CAMPBELL JR THOMAS W PH#: 864-232-1584 1 1142 GROVE RD Greenville / Corporation AB-0001 / 07/31/2021 GREENVILLE, SC 29605-4692 FAC.#:864-232-1584 1142 GROVE RD GREENVILLE, SC 29605-4692 Facility Name Location Street Location City, State Administrator/Phone License Nbr/Expiration Date County/Ownership Type Mailing/Billing Address Licensee Number of Activities/Facilities licensed: 1 Number Licensed Units: 1 GREENVILLE WOMEN'S CLINIC PA Totals For Facility/License Type: Abortion Clinic Facility Email: [email protected] Licensed Units
Transcript
Page 1: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

1 hlfactcc.rdf

GreenvilleCounty:

Abortion ClinicFacility Type:

GREENVILLE WOMEN'S CLINIC

CAMPBELL JR THOMAS W PH#: 864-232-1584

1

1142 GROVE RD

Greenville / Corporation

AB-0001 / 07/31/2021

GREENVILLE, SC 29605-4692 FAC.#:864-232-1584

1142 GROVE RD

GREENVILLE, SC 29605-4692

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

GREENVILLE WOMEN'S CLINIC PA

Totals For Facility/License Type: Abortion Clinic

Facility Email: [email protected]

Licensed

Units

Page 2: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

2 hlfactcc.rdf

GreenvilleCounty:

Adult Day CareFacility Type:

ACTIVE DAY OF GREENVILLE

ALL ABOUT OUR SENIORS ADULT DAY CARE

CAPITAL HEALTH SERVICE ADULT DAYCARE

ELITE DAY CENTER OF GREENVILLE

GREER ACTIVE DAY CENTER

PRISMA HEALTH SENIORCARE PACE - UPSTATE

WILES TRACY PH#: 864-271-4211

DENHAM ERICA PH#: 864-325-4126

HEWINS MONICA PH#: 864-228-3604

WHITE COLRA PH#:

MOORE WENDY PH#: 864-848-3003

BROWN FRANKLIN COLE PH#:

75

50

40

110

40

140

21 MCBETH ST

1306 W POINSETT ST

526 S MAIN ST

211 VILLAGE DR

736 S LINE ST EXT

32 CENTENNIAL WAY

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Corporation

ADC-0236 / 03/31/2021

ADC-0432 / 03/31/2021

ADC-0400 / 11/30/2020

ADC-0437 / 07/31/2020

ADC-0125 / 10/31/2020

ADC-0431 / 08/31/2020

GREENVILLE, SC 29611-3548 FAC.#:864-271-4211

GREER, SC 29650 FAC.#:864-469-7192

SIMPSONVILLE, SC 29681-3220 FAC.#:864-228-3604

GREER, SC 29651-1238 FAC.#:864-469-2061

GREER, SC 29651-4027 FAC.#:864-848-3003

GREENVILLE, SC 29605-4628 FAC.#:864-522-1964

6 NESHAMINY INTERPLEX STE 401

526 S MAIN ST

6 NESHAMINY INTERPLEX STE 401

300 E MCBEE AVE STE 402

FEASTERVILLE TREVOSE, PA 19053

SIMPSONVILLE, SC 29681-3220

FEASTERVILLE TREVOSE, PA 19053-6964

GREENVILLE, SC 29601-2890

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:

75

50

40

110

40

140

Number of Activities/Facilities licensed: 6 Number Licensed Units: 455

ACSR INC

ALL ABOUT OUR SENIORS ADULT DAY CARE LLC

CAPITAL HEALTH SERVICE LLC

ELITE HOMECARE LLC

ACTIVE SC TWO INC

PRISMA HEALTH - UPSTATE

Totals For Facility/License Type: Adult Day Care

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 3: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

3 hlfactcc.rdf

GreenvilleCounty:

Ambulatory SurgeryFacility Type:

ENDOSCOPY CENTER OF THE UPSTATE

GREENVILLE ENDOSCOPY CENTER

GREENVILLE ENDOSCOPY CENTER AT PATEWOOD

JERVEY EYE CENTER

PIEDMONT SURGERY CENTER

PRISMA HEALTH CROSS CREEK SURGERY CENTER

ANDREWS STEPHANIE PH#:

SWOYER REBECCA K PH#: 864-232-7338

WARDLAW TAMMIE PH#: 864-239-6636

DENARO LENARDO PH#: 864-458-3858

JUDGE JAMIE PH#:

BROOKSHIRE TIM PH#: 864-455-3072

3

3

3

5

4

4

14 HAWTHORNE PARK CT

317 SAINT FRANCIS DR STE 150

200 PATEWOOD DR STE B 100

5 STEVEN ST STE 200

5 MEMORIAL MEDICAL CT

9 DOCTORS DR, CROSS CREEK MEDICAL PLAZA

Greenville / Ltd. Liability

Greenville / Corporation

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability Limited Partnership

Greenville / Corporation

ASF-0086 / 07/31/2020

ASF-0027 / 02/28/2021

ASF-0108 / 08/31/2020

ASF-0038 / 02/28/2021

ASF-0017 / 06/30/2021

ASF-0132 / 10/31/2020

GREENVILLE, SC 29615-3194 FAC.#:864-331-0364

GREENVILLE, SC 29601-3914 FAC.#:864-239-6636

GREENVILLE, SC 29615 FAC.#:864-232-7338

GREENVILLE, SC 29605 FAC.#:864-250-6484

GREENVILLE, SC 29605-4449 FAC.#:864-272-3409

GREENVILLE, SC 29605-4266 FAC.#:864-455-5095

1A BURTON HILLS BLVD

PO BOX 8555

PO BOX 8555

1 DOCTORS DR

5 MEMORIAL MEDICAL CT

300 E MCBEE AVE STE 402

NASHVILLE, TN 37215-6187

GREENVILLE, SC 29604-8555

GREENVILLE, SC 29604-8555

GREENVILLE, SC 29605-4266

GREENVILLE, SC 29605-4449

GREENVILLE, SC 29601-2890

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

0

3

4

4

Procedure Rooms:

Procedure Rooms:

Procedure Rooms:

Procedure Rooms:

Procedure Rooms:

Procedure Rooms:

0

0

0

2

0

0

Endoscopy Rooms:

Endoscopy Rooms:

Endoscopy Rooms:

Endoscopy Rooms:

Endoscopy Rooms:

Endoscopy Rooms:

3

3

3

0

0

0

GREENVILLE ASC LLC

GREENVILLE ENDOSCOPY CENTER INC

GREENVILLE ENDOSCOPY CENTER INC

JERVEY EYE CENTER LLC

GREENVILLE SURGERY CENTER LP DBA PIEDMONT SURGERY CENTER

PRISMA HEALTH - UPSTATE

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

RSWOYER@GASTROASSOCIATESCOM

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 4: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

4 hlfactcc.rdf

GreenvilleCounty:

Ambulatory SurgeryFacility Type:

PRISMA HEALTH PATEWOOD OUTPATIENT SURGERY CENTER

UPSTATE SURGERY CENTER

BROOKSHIRE TIM PH#: 864-797-1089

SOSNOWSKI VALERIE PH#: 864-458-7141

8

2

200 PATEWOOD DR

10 ENTERPRISE BLVD STE 109

Greenville / Corporation

Greenville / Ltd. Liability

ASF-0133 / 10/31/2020

ASF-0050 / 09/30/2020

GREENVILLE, SC 29615-3593 FAC.#:864-797-1089

GREENVILLE, SC 29615-3534 FAC.#:864-458-7141

200 PATEWOOD DR

10 ENTERPRISE BLVD STE 109

GREENVILLE, SC 29615-3593

GREENVILLE, SC 29615-3534

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

Operating Rooms:

Operating Rooms:

6

2

Procedure Rooms:

Procedure Rooms:

0

0

Endoscopy Rooms:

Endoscopy Rooms:

2

0

Number of Activities/Facilities licensed: 8 Number Licensed Units: 32

PRISMA HEALTH - UPSTATE

UPSTATE SURGERY CENTER LLC

Totals For Facility/License Type: Ambulatory Surgery

Facility Email:

Facility Email:

[email protected]

[email protected]

Licensed

Units

Page 5: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

5 hlfactcc.rdf

GreenvilleCounty:

Birthing CenterFacility Type:

BLESSED BIRTHS FAMILY WELLNESS AND BIRTH CENTER

CAROLINA WATERBIRTH

PH#:

GLENN CYNTHIA J PH#: 864-329-0010

2

3

23 MILLS AVE

915 SOUTH ST STE J

Greenville / Corporation

Greenville / Limited Liability Company (single member)

BC-0003 / 08/31/2020

BC-0005 / 10/31/2020

GREENVILLE, SC 29605-4015 FAC.#:864-233-5513

SIMPSONVILLE, SC 29681-3210 FAC.#:864-329-0010

23 MILLS AVE

915 SOUTH ST STE J

GREENVILLE, SC 29605-4015

SIMPSONVILLE, SC 29681-3210

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: 5

BLESSED BIRTHS INC

CAROLINA BIRTH CENTER LLC

Totals For Facility/License Type: Birthing Center

Facility Email:

Facility Email:

[email protected]

[email protected]

Licensed

Units

Page 6: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

6 hlfactcc.rdf

GreenvilleCounty:

Body PiercingFacility Type:

EMBELLISHME

PURPLE HAZE

SOME PRIX PIERCING

WHATEVER III

KEENAN REBEKAH PH#: 706-459-5023

PILGRIM WENDY L PH#: 864-232-5569

PH#:

GILLIAM KENNETH Y PH#: 864-329-1008

1

1

1

1

301 HAYWOOD RD STE 5

493 S PLEASANTBURG DR

300 RANDALL ST STE C

1178 WOODRUFF RD STE 10

Greenville / Limited Liability

Greenville / Limited Liability Company (multiple member)

Greenville / Sole Proprietorship

Greenville / Sole Proprietorship

BP-0294 / 10/31/2020

BP-0197 / 10/31/2020

BP-0279 / 02/28/2021

BP-0161 / 01/31/2021

GREENVILLE, SC 29607 FAC.#:864-236-1157

GREENVILLE, SC 29607-2525 FAC.#:864-232-5569

GREER, SC 29051 FAC.#:864-479-0404

GREENVILLE, SC 29607-4126 FAC.#:864-329-1008

9 PREAKNESS CT

1178 WOODRUFF RD STE 10

GREER, SC 29651

GREENVILLE, SC 29607-4126

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: 4

EMBELLISHME LLC

PURPLE HAZE LLC

WRIGHT JACOB

GILLIAM SON C

Totals For Facility/License Type: Body Piercing

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 7: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

7 hlfactcc.rdf

GreenvilleCounty:

Community Residential Care FacilityFacility Type:

ARBORETUM AT THE WOODLANDS AT FURMAN

BAYBERRY OF GREER

BROOKDALE BRUSHY CREEK

CARRIAGE HOUSE SENIOR LIVING OF TAYLORS

CASCADES VERDAE ASSISTED LIVING

LILLY DONALD R PH#: 864-371-3100

PRITCHETT NATOSHA J PH#: 864-848-1935

PH#:

PH#:

PH#:

64

23

52

44

92

50 ARBORETUM LN

309 NORTHVIEW DR

2010 BRUSHY CREEK RD

402 W MAIN ST

30 SPRINGCREST CT

Greenville / Non-Profit Corporation

Greenville / Limited Liability Limited Partnership

Greenville / Corporation

Greenville / Corporation

Greenville / Limited Liability

CRC-1492 / 05/31/2021

CRC-0595 / 07/31/2020

CRC-1306 / 12/31/2020

CRC-0978 / 01/31/2021

CRC-1490 / 04/30/2021

GREENVILLE, SC 29617-6228 FAC.#:864-371-3100

GREER, SC 29651-1340 FAC.#:864-848-1935

GREER, SC 29650-2614 FAC.#:864-244-9994

TAYLORS, SC 29687-2951 FAC.#:864-292-2416

GREENVILLE, SC 29607-4034 FAC.#:864-528-5529

1500 TRAILHEAD CT

309 NORTHVIEW DR

2010 BRUSHY CREEK RD

201 S MCPHERSON CHURCH RD STE 226

3530 TORINGDON WAY STE 204

GREENVILLE, SC 29617-6226

GREER, SC 29651-1340

GREER, SC 29650-2614

FAYETTEVILLE, NC 28303

CHARLOTTE, NC 28277-3436

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

UPSTATE SENIOR LIVING INC

EVERGREEN VILLAGES LIMITED PARTNERSHIP

BROOKDALE SENIOR LIVING COMMUNITIES INC

CARRIAGE HOUSE SENIOR LIVING OF TAYLORS INC

CASCADES NURSING LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Certifications:

Certifications:

Certifications:

Certifications:

Certifications:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

None

None

None

None

None

Yes

No

No

No

Yes

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Yes

No

Yes

No

Yes

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

16

0

52

0

19

16

0

0

0

24

Page 8: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

8 hlfactcc.rdf

GreenvilleCounty:

Community Residential Care FacilityFacility Type:

FAIRVIEW PARK ASSISTED LIVING

GABLES ON PELHAM ASSISTED LIVING AND MEMORY CARE

GARDENS AT EASTSIDE

GREENVILLE COMMUNITY RESIDENCE

GREENVILLE GLEN ASSISTED LIVING

HOWE VALERIE PH#:

HUNTER ANDREA M PH#: 864-286-6600

FORD JANE A PH#: 864-329-1200

WOJACK DAVID C PH#: 864-277-9656

ROUSE SONYA L PH#:

90

119

83

12

51

544 HARRISON BRIDGE RD

1306 PELHAM RD

275 COMMONWEALTH DR

158 CAVALIER DR

1101 GARLINGTON RD

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Ltd. Liability

Greenville / State

Greenville / Limited Liability

CRC-2050 / 02/28/2021

CRC-2157 / 06/30/2021

CRC-1222 / 08/31/2020

CRC-0073 / 03/31/2021

CRC-2069 / 08/31/2020

SIMPSONVILLE, SC 29860 FAC.#:864-757-8812

GREENVILLE, SC 29615-3600 FAC.#:864-286-6600

GREENVILLE, SC 29615-4814 FAC.#:864-329-1200

GREENVILLE, SC 29607-4262 FAC.#:864-277-9656

GREENVILLE, SC 29615-5446 FAC.#:864-627-8700

2700 HWY 280 STE 460E

275 COMMONWEALTH DR

1700 RIDGE RD

PO BOX 6384

BIRMINGHAM, AL 35223

GREENVILLE, SC 29615-4814

GREENVILLE, SC 29607-4730

SPARTANBURG, SC 29304-6384

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

AFF18 FAIRVIEW PARL ALF LLC

FSL GREENVILLE SC TENANT LLC

EASTSIDE ASSISTED LIVING LLC

GREENVILLE COUNTY DISABILITIES & SPECIAL NEEDS BOARD

ML GREENVILLE GLEN LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

Not on File

[email protected]

[email protected]

[email protected]

Licensed

Units

Certifications:

Certifications:

Certifications:

Certifications:

Certifications:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

None

None

None

None

None

Yes

No

Yes

No

Yes

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Yes

No

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

14

0

0

18

0

14

0

16

Page 9: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

9 hlfactcc.rdf

GreenvilleCounty:

Community Residential Care FacilityFacility Type:

GREENVILLE PLACE

GREER COMMUNITY RESIDENCE

GREGORY'S COMMUNITY CARE #5 - MALONE HOUSE

GREGORY'S COMMUNITY CARE #6 - HOWELL HOUSE

GREGORY'S COMMUNITY CARE #7 - CRAVEN HOUSE

PH#:

PH#:

WARE TOMECA PH#: 864-277-2269

WARE TOMECA PH#: 864-277-1852

WARE TOMECA PH#: 864-277-0996

153

12

10

10

10

2006 PELHAM RD

112 S BEVERLY LN

2413 FORK SHOALS RD

2409 FORK SHOALS RD

10 FERGUSON RD

Greenville / Corporation

Greenville / State

Greenville / Sole Proprietorship

Greenville / Sole Proprietorship

Greenville / Sole Proprietorship

CRC-1402 / 11/30/2020

CRC-0237 / 09/30/2020

CRC-0558 / 01/31/2020 (Renewal Pending)

CRC-0556 / 01/31/2020 (Renewal Pending)

CRC-0555 / 01/31/2020 (Renewal Pending)

GREENVILLE, SC 29615-4005 FAC.#:864-288-3331

GREER, SC 29651-1738 FAC.#:864-288-1907

PIEDMONT, SC 29673-8663 FAC.#:864-277-2269

PIEDMONT, SC 29673-8663 FAC.#:864-277-1852

PIEDMONT, SC 29673-8603 FAC.#:864-277-0996

2006 PELHAM RD

1700 RIDGE RD

PO BOX 80910

PO BOX 80910

PO BOX 80910

GREENVILLE, SC 29615-4005

GREENVILLE, SC 29607-4730

SIMPSONVILLE, SC 29680

SIMPSONVILLE, SC 29680

SIMPSONVILLE, SC 29680

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

CSL LEASECO INC

GREENVILLE COUNTY DISABILITIES & SPECIAL NEEDS BOARD

GREGORY JOYCE C

GREGORY JOYCE C

GREGORY JOYCE C

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Certifications:

Certifications:

Certifications:

Certifications:

Certifications:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

None

None

None

None

None

Yes

No

No

No

No

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Yes

No

No

No

No

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

53

0

0

0

0

53

0

0

0

0

Page 10: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

10 hlfactcc.rdf

GreenvilleCounty:

Community Residential Care FacilityFacility Type:

GREGORY'S COMMUNITY CARE #8 - METZ HOUSE

HARMONY AT FIVE FORKS

HAVEN IN THE VILLAGE AT CHANTICLEER

LEGACY AT HAWTHORNE PARK

LEGACY AT SOUTHPOINTE DRIVE

WARE TOMECA PH#: 864-277-8506

GRUBER JEFF PH#:

PH#:

LEE-POTTER KEARA PH#:

KENNEDY SHERRY SUE PH#:

10

92

60

68

110

18 FERGUSON RD

345 FIVE FORKS RD

355 BERKMANS LN

20 HAWTHORNE PARK CT

23 SOUTHPOINTE DR

Greenville / Sole Proprietorship

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

CRC-0557 / 01/31/2020 (Renewal Pending)

CRC-1960 / 08/31/2020

CRC-2125 / 01/31/2021

CRC-2094 / 09/30/2020

CRC-2108 / 11/30/2020

PIEDMONT, SC 29673-8603 FAC.#:864-277-8506

SIMPSONVILLE, SC 29681 FAC.#:864-412-4700

GREENVILLE, SC 29605-5606 FAC.#:864-467-0031

GREENVILLE, SC 29615-3194 FAC.#:864-288-6775

GREENVILLE, SC 29607-5956 FAC.#:846-675-0220

PO BOX 80910

345 FIVE FORKS RD

SIMPSONVILLE, SC 29680

SIMPSONVILLE, SC 29681

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

GREGORY JOYCE C

GREENVILLE OPERATIONS LLC

SNH SC TENANT LLC

NAVION BKE HAWTHORNE PARK LLC

NAVION SOUTHPOINTE OPERATIONS LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

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

Yes

No

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

No

Yes

Yes

Yes

Yes

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

0

28

0

17

11

0

24

60

17

0

Page 11: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

11 hlfactcc.rdf

GreenvilleCounty:

Community Residential Care FacilityFacility Type:

MANNING PLACE

MARIAN PARKINS COMMUNITY RESIDENCE I

MARIAN PARKINS COMMUNITY RESIDENCE II

MCKINNEY HOUSE

MEMORY CARE OF SIMPSONVILLE

PH#:

PH#:

PH#:

DUNCAN KIM PH#: 864-297-5044

GARRISON ANDREW H PH#: 864-962-3038

44

8

8

10

64

10 COMPANION CT

103 KERNS AVE

518 PICKETT ST

307 MILLER RD

645 SCUFFLETOWN RD

Greenville /

Greenville / Non-Profit Corporation

Greenville / Non-Profit Corporation

Greenville / State

Greenville / Limited Liability

CRC-1407 / 11/30/2020

CRC-2036 / 11/30/2020

CRC-2037 / 11/30/2020

CRC-2071 / 06/30/2020 (Renewal Pending)

CRC-1886 / 08/31/2020

GREER, SC 29651-1288 FAC.#:864-989-0707

GREENVILLE, SC 29609 FAC.#:864-232-0282

GREENVILLE, SC 29609 FAC.#:864-232-0595

MAULDIN, SC 29662-2034 FAC.#:864-297-5044

SIMPSONVILLE, SC 29681 FAC.#:864-962-3038

330 N WABASH AVE STE 3700

1700 RIDGE RD

1700 RIDGE RD

307 MILLER RD

645 SCUFFLETOWN RD

CHICAGO, IL 60611-7605

GREENVILLE, SC 29606

GREENVILLE, SC 29607-4730

MAULDIN, SC 29662-2034

SIMPSONVILLE, SC 29681

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

MANNING AID OPCO LLC

GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDSBOARD

GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDSBOARD

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH

MCA SIMPSONVILLE OPERATING COMPANY

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

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

64

0

0

0

0

64

Page 12: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

12 hlfactcc.rdf

GreenvilleCounty:

Community Residential Care FacilityFacility Type:

OAKLEAF VILLAGE OF GREENVILLE

PALMETTOS OF MAULDIN

PARKER

PEARL AT EASTSIDE

PEARL AT FIVE FORKS

FREEMAN LEIGHA M PH#: 864-601-1440

DAVIS KATHRYN H PH#: 864-627-0803

DAVIDSON MICHAEL S PH#: 864-250-1188

HOWARD KAYLA PH#: 864-558-0383

RHODES AMY PH#:

100

60

115

54

64

1560 THORNBLADE BLVD

810 E BUTLER RD

12 BOYCE AVE

352 PELHAM RD

15 FIVE FORKS RD

Greenville / Limited Liability

Greenville / Ltd. Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

CRC-2021 / 09/30/2020

CRC-1503 / 03/31/2021

CRC-2136 / 01/31/2021

CRC-1947 / 04/30/2021

CRC-2003 / 01/31/2021

GREER, SC 29650-4520 FAC.#:864-968-1277

GREENVILLE, SC 29607-5842 FAC.#:864-627-0803

GREENVILLE, SC 29601 FAC.#:864-250-1188

GREENVILLE, SC 29615-3110 FAC.#:864-558-0383

SIMPSONVILLE, SC 29681 FAC.#:864-568-3833

ONE TOWN CENTER RD STE 300

810 E BUTLER RD

545 E JOHN CARPENTER FREEWAY STE 500

10933 CRABAPPLE RD

BOCA RATON, FL 33486

GREENVILLE, SC 29607-5842

IRVING, TX 75062

ROSWELL, GA 30075

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

GREENVILLE SENIOR HOUSING I OPCO LLC

NHC HEALTHCARE/MAULDIN LLC

THE PARKER OPERATOR LLC

GREENVILLE MEMORY CARE LLC

PSL SIMPSONVILLEE SUBTENANT LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Certifications:

Certifications:

Certifications:

Certifications:

Certifications:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

None

None

None

None

None

Yes

Yes

No

Yes

Yes

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Yes

Yes

No

Yes

Yes

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

20

15

0

35

0

24

18

0

54

64

Page 13: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

13 hlfactcc.rdf

GreenvilleCounty:

Community Residential Care FacilityFacility Type:

PENDLETON MANOR

PHOENIX AT GREER

QUILLEN MANOR

RIDGEVIEW COMMUNITY CARE HOMES UNIT A

RIDGEVIEW COMMUNITY CARE HOMES UNIT B

PH#:

PH#:

RAST LARRY PH#: 864-675-0220

DAUGHERTY PATRICIA L PH#: 864-877-8599

DAUGHERTY PATRICIA L PH#: 864-877-8599

65

110

78

11

10

414 SUMMIT DR

75 S BUNCOMBE RD

709 QUILLEN AVE

217 CHANDLER RD

217 CHANDLER RD

Greenville / Ltd. Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Corporation

CRC-1455 / 08/31/2020

CRC-2146 / 11/30/2020

CRC-1321 / 06/30/2021

CRC-0559 / 01/31/2021

CRC-0560 / 01/31/2021

GREENVILLE, SC 29609-4821 FAC.#:864-271-7562

GREER, SC 29650 FAC.#:864-469-0409

FOUNTAIN INN, SC 29644-9444 FAC.#:864-601-1440

GREER, SC 29651-1290 FAC.#:864-877-8599

GREER, SC 29651-1290 FAC.#:864-877-8599

414 SUMMIT DR

709 QUILLEN AVE

217 CHANDLER RD

217 CHANDLER RD

GREENVILLE, SC 29609-4821

FOUNTAIN INN, SC 29644-9462

GREER, SC 29651-1290

GREER, SC 29651-1290

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

GREENVILLE RETIREMENT PROPERTIES LLC

PHOENIX AT GREER LLC

QUILLEN MANOR LLC

RIDGEVIEW COMMUNITY CARE HOMES INC

RIDGEVIEW COMMUNITY CARE HOMES INC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

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

No

No

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Yes

Yes

Yes

No

No

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

0

0

12

0

0

24

25

12

0

0

Page 14: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

14 hlfactcc.rdf

GreenvilleCounty:

Community Residential Care FacilityFacility Type:

RIDGEVIEW COMMUNITY CARE HOMES UNIT C

RIDGEVIEW COMMUNITY CARE HOMES UNIT D

ROLLING GREEN VILLAGE ASSISTED LIVING FACILITY

SHEPHERD'S CARE CENTER

SHERMAN RESIDENTIAL CARE

DAUGHERTY PATRICIA L PH#: 864-877-8599

DAUGHERTY PATRICIA L PH#: 864-877-8599

TOERNER RYAN PH#: 864-987-9800

THOMPSON ERIC M PH#: 864-322-6212

PH#:

11

11

52

90

16

217 CHANDLER RD

217 CHANDLER RD

1 HOKE SMITH BLVD OFC

2100 N PLEASANTBURG DR

20 MAYFIELD ST

Greenville / Corporation

Greenville / Corporation

Greenville / Non-Profit Corporation

Greenville / Ltd. Liability

Greenville / Limited Liability

CRC-0561 / 01/31/2021

CRC-0562 / 01/31/2021

CRC-0573 / 03/31/2021

CRC-1326 / 10/31/2020

CRC-2009 / 02/28/2021

GREER, SC 29651-1290 FAC.#:864-877-8599

GREER, SC 29651-1290 FAC.#:864-877-8599

GREENVILLE, SC 29615-5399 FAC.#:864-987-9800

GREENVILLE, SC 29609-3156 FAC.#:864-322-6212

GREENVILLE, SC 29601-1815 FAC.#:864-242-0401

217 CHANDLER RD

217 CHANDLER RD

1 HOKE SMITH BLVD OFC

2100 N PLEASANTBURG DR

20 MAYFIELD ST

GREER, SC 29651-1290

GREER, SC 29651-1290

GREENVILLE, SC 29615-5399

GREENVILLE, SC 29609-3156

GREENVILLE, SC 29601-1815

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

RIDGEVIEW COMMUNITY CARE HOMES INC

RIDGEVIEW COMMUNITY CARE HOMES INC

ROLLING GREEN VILLAGE

SHEPHERD'S CARE CENTER LLC

SHERMAN RESIDENTIAL CARE 2 LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Certifications:

Certifications:

Certifications:

Certifications:

Certifications:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

None

None

None

None

None

No

No

Yes

Yes

No

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

No

No

Yes

Yes

No

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

0

0

22

9

0

0

0

22

19

0

Page 15: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

15 hlfactcc.rdf

GreenvilleCounty:

Community Residential Care FacilityFacility Type:

SOUTHERN OAKS PERSONAL CARE HOME

SPRING PARK ASSISTED LIVING

SPRINGS AT SIMPSONVILLE

WATERSTONE ON AUGUSTA SENIOR LIVING

WINDSOR HOUSE GREENVILLE

PH#:

LEE-POTTER KEARA PH#: 864-610-2435

MASTERSON MARGARET J PH#: 864-962-8570

MORRISON KENNETH SCOTT PH#: 864-675-0220

WILSON RENEE PH#: 864-288-9450

64

80

89

126

50

120 ROPER MOUNTAIN RD EXT

925 N MAIN ST

214 E CURTIS ST

1004 AUGUSTA ST

1931 PELHAM RD

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Ltd. Liability

Greenville / Corporation

Greenville /

CRC-1931 / 06/30/2021

CRC-2063 / 02/28/2021

CRC-1198 / 05/31/2021

CRC-1945 / 03/31/2021

CRC-1388 / 01/31/2021

GREENVILLE, SC 29615-4823 FAC.#:864-288-3271

TRAVELERS REST, SC 29690-1553 FAC.#:864-610-2435

SIMPSONVILLE, SC 29681-2622 FAC.#:864-962-8570

GREENVILLE, SC 29605-3906 FAC.#:864-605-7236

GREENVILLE, SC 29615-4002 FAC.#:864-288-9450

80 MEDICAL DR

2700 HWY 280 STE 460E

104 S MAIN ST STE 3

1240 E INDEPENDENCE ST STE 200

1931 PELHAM RD

WOODRUFF, SC 29388

BIRMINGHAM, AL 35223

SIMPSONVILLE, SC 29681-2707

SPRINGFIELD, MO 65804

GREENVILLE, SC 29615-4002

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

Number of Activities/Facilities licensed: 45 Number Licensed Units: 2,555

PATRIOT LIVING LLC

AFF18 SPRING PARK ALF LLC

CURTIS GROUP LLC

CHP GREENVILLE SC TENANT CORP

WINDOR HOUSE GREENVILLE-FHE LLC

Totals For Facility/License Type: Community Residential Care Facility

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

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

Yes

No

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

No

Yes

Yes

Yes

No

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

0

0

16

17

0

0

24

16

36

0

Page 16: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

16 hlfactcc.rdf

GreenvilleCounty:

Habilitation R15Facility Type:

CIVITAN COMMUNITY RESIDENCE

FOUNTAIN INN COMMUNITY RESIDENCE

HUGHES STREET COMMUNITY RESIDENCE

RIDGE ROAD RESIDENCE

TRAVELERS REST COMMUNITY RESIDENCE

STONE AMANDA PH#:

BYRD-CHIRINOUS NIELA PH#: 864-679-0220

BYRD-CHIRINOUS NIELA PH#: 864-679-0220

OGUNSILE MATTHEW PH#: 864-679-0220

STONE AMANDA PH#: 864-288-1907

8

12

8

12

8

1820 RIDGE RD

105 OLD FAIRVIEW RD

104 HUGHES ST

1810 RIDGE RD

252 LITTLE TEXAS RD

Greenville / State

Greenville / State

Greenville / State

Greenville / State

Greenville / State

MR15-0113 / 12/31/2020

MR15-0197 / 06/30/2021

MR15-0201 / 06/30/2021

MR15-0176 / 09/30/2020

MR15-0222 / 06/30/2021

GREENVILLE, SC 29607-4704 FAC.#:864-679-0220

FOUNTAIN INN, SC 29644-1822 FAC.#:864-679-0220

FOUNTAIN INN, SC 29644-2110 FAC.#:864-679-0220

GREENVILLE, SC 29607-4704 FAC.#:864-679-0220

TRAVELERS REST, SC 29690 FAC.#:864-679-0220

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: 48

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:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 17: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

17 hlfactcc.rdf

GreenvilleCounty:

Home HealthFacility Type:

BAYADA HOME HEALTH CARE-GREENVILLE

BRIGHTSTAR OF SPARTANBURG

INTERIM HEALTHCARE OF THE UPSTATE

KINDRED AT HOME-GREENVILLE

MORGHEIM SHAD PH#: 615-564-8034

PH#:

GRAY JACQUELINE PH#: 864-627-1200

FRY CYNTHIA PH#:

3

2

8

8

25 WOODS LAKE ROAD BUILDING 5, STES 503 & 504

110 W CHURCH ST STE A

16 HYLAND RD

15 BRENDAN WAY STE 250

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

HHA-0345 / 08/31/2020

HHA-0328 / 06/30/2021

HHA-0332 / 01/31/2021

HHA-0158 / 01/31/2021

GREENVILLE, SC 29607 FAC.#:864-263-4801

GREER, SC 29650-0000 FAC.#:864-599-0452

GREENVILLE, SC 29615-5756 FAC.#:864-627-1200

GREENVILLE, SC 29615-3562 FAC.#:864-297-5711

12900 FOSTER ST STE 400

OVERLAND PARK, KS 66213-2696

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

BAYADA HOME HEALTH CARE INC

SANDERS HEALTHCARE LLC

INVESTSOUTH IHC LLC

CAPITAL CARE RESOURCES OF SOUTH CAROLINA LLC

Counties Served:

Counties Served:

Counties Served:

Counties Served:

Anderson, Greenville, Spartanburg

Greenville, Spartanburg

Anderson, Cherokee, Greenville, Laurens, Oconee, Pickens, Spartanburg, Union

Anderson, Cherokee, Greenville, Laurens, Oconee, Pickens, Spartanburg, Union

License Restrictions:

License Restrictions:

License Restrictions:

License Restrictions:

Physical Therapy:

Physical Therapy:

Physical Therapy:

Physical Therapy:

Y

Y

Y

Y

Speech Therapy:

Speech Therapy:

Speech Therapy:

Speech Therapy:

Y

N

Y

Y

Occupational Therapy:

Occupational Therapy:

Occupational Therapy:

Occupational Therapy:

Y

N

Y

Y

Med. Social Services:

Med. Social Services:

Med. Social Services:

Med. Social Services:

Y

N

Y

Y

Home Health Aid:

Home Health Aid:

Home Health Aid:

Home Health Aid:

Y

Y

Y

Y

Medical Supplies/Appliances/Durable Medical Equipment:

Medical Supplies/Appliances/Durable Medical Equipment:

Medical Supplies/Appliances/Durable Medical Equipment:

Medical Supplies/Appliances/Durable Medical Equipment:

N

N

Y

N

Other:

Other:

Other:

Other:

SKILLED NURSING SERVICES

INFUSION THERAPY

REGISTERED NURSE

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 18: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

18 hlfactcc.rdf

GreenvilleCounty:

Home HealthFacility Type:

OPTUM WOMEN'S AND CHILDREN'S HEALTH-PIEDMONT

PRISMA HEALTH HOME HEALTH AGENCY

ROLLING GREEN VILLAGE HOME HEALTH AGENCY

ACKERMAN KRISTI PH#:

SNYDER LIZ PH#:

TOERNER RYAN PH#: 864-987-9800

33

4

1

2 INDEPENDENCE POINTE

440 ROPER MOUNTAIN RD

1 HOKE SMITH BLVD

Greenville / Limited Liability

Greenville / Corporation

Greenville / Non-Profit Corporation

HHA-0128 / 03/31/2021

HHA-0323 / 10/31/2020

HHA-0213 / 12/31/2020

GREENVILLE, SC 29615 FAC.#:800-950-3963

GREENVILLE, SC 29615 FAC.#:864-522-5350

GREENVILLE, SC 29615-5308 FAC.#:864-987-9800

440 ROPER MOUNTAIN RD

1 HOKE SMITH BLVD OFC

GREENVILLE, SC 29615

GREENVILLE, SC 29615-5399

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

OPTUM WOMEN'S AND CHILDREN'S HEALTH LLC

PRISMA HEALTH - UPSTATE

ROLLING GREEN VILLAGE

Counties Served:

Counties Served:

Counties Served:

Abbeville, Allendale, Anderson, Bamberg, Barnwell, Calhoun, Cherokee, Chester,

Chesterfield, Clarendon, Darlington, Dillon, Edgefield, Florence, Greenville,

Greenwood, Hampton, Horry, Jasper, Laurens, Lee, Marion, Marlboro, McCormick,

Oconee, Orangeburg, Pickens, Saluda, Spartanburg, Sumter, Union, Williamsburg,

York

Anderson, Greenville, Oconee, Pickens

Greenville

License Restrictions:

License Restrictions:

License Restrictions:

OBSTETRIC PATIENTS ONLY

SERVING CONTINUING CARE RETIREMENT COMMUNITY AT ROLLING GREEN VILLAGE RESIDENT

Physical Therapy:

Physical Therapy:

Physical Therapy:

N

Y

Y

Speech Therapy:

Speech Therapy:

Speech Therapy:

N

Y

Y

Occupational Therapy:

Occupational Therapy:

Occupational Therapy:

N

Y

Y

Med. Social Services:

Med. Social Services:

Med. Social Services:

N

Y

Y

Home Health Aid:

Home Health Aid:

Home Health Aid:

N

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:

IV THERAPY

INTRAVENOUS THERAPY

HOME HEALTH AGENCY FOR RGC RESIDENTS ONLY

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 19: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

19 hlfactcc.rdf

GreenvilleCounty:

Home HealthFacility Type:

ST FRANCIS HOSPITAL HOME CARE

CAMPBELL DENISE PH#: 864-255-1856

4

10 PATEWOOD DR BLDG 6 STE 300

Greenville / Corporation

HHA-0167 / 12/31/2020

GREENVILLE, SC 29615-6341 FAC.#:864-233-5300

10 PATEWOOD DR BLDG 6 STE 300

GREENVILLE, SC 29615-6341

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

Number of Activities/Facilities licensed: 8 Number Licensed Units: 63

ST FRANCIS HOSPITAL INC

Counties Served: Anderson, Greenville, Pickens, Spartanburg

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

Page 20: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

20 hlfactcc.rdf

GreenvilleCounty:

Hospice FacilityFacility Type:

MCCALL HOSPICE HOUSE OF GREENVILLE

WHITMAN DEBBIE PH#: 864-688-1700

30

1836 W GEORGIA RD

Greenville / Corporation

HPF-0010 / 07/31/2020

SIMPSONVILLE, SC 29680-7212 FAC.#:864-688-1700

1836 W GEORGIA RD

SIMPSONVILLE, SC 29680-7212

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: 30

ST FRANCIS HOSPITAL INC

Totals For Facility/License Type: Hospice Facility

Facility Email: [email protected]

Licensed

Units

Page 21: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

21 hlfactcc.rdf

GreenvilleCounty:

Hospice ProgramFacility Type:

BROOKDALE HOSPICE-GREENVILLE

HALCYON HOSPICE

HEARTLAND HOSPICE SERVICES-GREENVILLE

HOMESTEAD HOSPICE OF GREENVILLE

LISI JOHN PH#:

CROCKER DENISE PH#: 864-451-7603

KEITT SUSAN PH#: 864-963-0045

FISHER GARLAND PH#: 864-288-5136

10

46

11

46

25 WOODS LAKE RD STE 405

5 CENTURY DR STE 210

421 SE MAIN ST STE 100

109 LAURENS RD BLDG 1A

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

HPC-0181 / 09/30/2020

HPC-0145 / 07/31/2021

HPC-0137 / 12/31/2020

HPC-0170 / 01/31/2021

GREENVILLE, SC 29607 FAC.#:864-370-7218

GREENVILLE, SC 29607 FAC.#:864-451-7603

SIMPSONVILLE, SC 29681-2697 FAC.#:864-963-0045

GREENVILLE, SC 29607-1860 FAC.#:864-288-5136

111 WESTWOOD PL STE 400

PO BOX 51266

333 N SUMMIT ST FL 16

10888 CRABAPPLE RD

BRENTWOOD, TN 37027-5057

LAFAYETTE, LA 70505-1266

TOLEDO, OH 43604-1531

ROSWELL, GA 30075-5850

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

BROOKDALE HOSPICE LLC

LHCG XLI LLC

HEARTLAND HOSPICE SERVICES LLC

HOMESTEAD HOSPICE OF GREENVILLE LLC

Counties Served:

Counties Served:

Counties Served:

Counties Served:

Abbeville, Anderson, Cherokee, Greenville, Greenwood, Laurens, Oconee, Pickens,

Spartanburg, 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, Anderson, Cherokee, Greenville, Greenwood, Laurens, Newberry, Oconee,

Pickens, Spartanburg, 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

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 22: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

22 hlfactcc.rdf

GreenvilleCounty:

Hospice ProgramFacility Type:

HOSPICE COMPASSUS GREENVILLE/SPARTANBURG

INTERIM HEALTHCARE OF THE UPSTATE HOSPICE

KINDRED HOSPICE-GREENVILLE

MEDICAL SERVICES OF AMERICA HOSPICE OF THE UPSTATE

OPEN ARMS HOSPICE

COOK WILLIAM PH#: 864-542-2536

COLOVIN KIERSTEN PH#:

MULLINAX MICHELE PH#:

STOKER JEANIE PH#: 864-627-4270

WHITMAN DEBBIE PH#: 864-688-1700

21

10

20

46

5

16 MILLS AVE STE 6

16 HYLAND RD

15 BRENDAN WAY STE 100

528 HOWELL RD STE 20

1836 W GEORGIA RD

Greenville / Ltd. Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Corporation

HPC-0108 / 05/31/2021

HPC-0222 / 01/31/2021

HPC-0058 / 08/31/2020

HPC-0088 / 06/30/2021

HPC-0063 / 12/31/2020

GREENVILLE, SC 29605-4065 FAC.#:864-542-2536

GREENVILLE, SC 29615-5756 FAC.#:864-627-1200

GREENVILLE, SC 29615-3562 FAC.#:864-297-3164

GREENVILLE, SC 29615-2050 FAC.#:864-627-4270

SIMPSONVILLE, SC 29680-7212 FAC.#:864-688-1700

1923 E MAIN ST STE B

12900 FOSTER ST STE 400, CORPORATE LICENSURE DEPT

PO BOX 609

1836 W GEORGIA RD

DUNCAN, SC 29334-8885

OVERLAND PARK, KS 66213-2696

LEXINGTON, SC 29071-0609

SIMPSONVILLE, SC 29680-7212

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

THI OF SOUTH CAROLINA HOSPICE LLC

INVESTSOUTH IHC LLC

VISTACARE USA LLC

TRI COUNTY HOSPICE INC

ST FRANCIS HOSPITAL INC

Counties Served:

Counties Served:

Counties Served:

Counties Served:

Counties Served:

Abbeville, Anderson, Cherokee, Chester, Fairfield, Greenville, Greenwood, Kershaw,

Lancaster, Laurens, Lexington, McCormick, Newberry, Oconee, Pickens, Richland,

Saluda, Spartanburg, Sumter, Union, York

Abbeville, Anderson, Cherokee, Greenville, Greenwood, Laurens, Oconee, Pickens,

Spartanburg, Union

Abbeville, Anderson, Cherokee, Chesterfield, Clarendon, Darlington, Dillon,

Florence, Greenville, Greenwood, Laurens, Lee, Marion, Marlboro, Oconee, Pickens,

Spartanburg, Sumter, Union, Williamsburg

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

Anderson, Greenville, Laurens, Pickens, Spartanburg

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 23: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

23 hlfactcc.rdf

GreenvilleCounty:

Hospice ProgramFacility Type:

PALLADIUM HOSPICE AND PALLIATIVE CARE

PATHWAY HOSPICE

VCARE HOSPICE

WREN HOSPICE

LEROY BRANDY PH#:

HICKS DONNA GOODWIN PH#: 803-391-3146

JAMES PAMELA PH#: 864-386-6419

BURTON HEATHER B PH#: 864-326-3242

46

46

5

13

10 ENTERPIRSE BLVD STE 202

355 WOODRUFF RD STE 201

31 MEMORIAL MEDICAL DR, STE 139

955 W WADE HAMPTON BLVD STE 3A

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

HPC-0229 / 01/31/2021

HPC-0147 / 05/31/2021

HPC-0235 / 09/30/2020

HPC-0177 / 11/30/2020

GREENVILLE, SC 29615 FAC.#:864-679-3121

GREENVILLE, SC 29607-3494 FAC.#:864-312-6825

GREENVILLE, SC 29605 FAC.#:864-453-1855

GREER, SC 29650 FAC.#:864-326-3242

4 W RED OAK LN, STE 201

355 WOODRUFF RD STE 201, MAILBOX 24

955 W WAIDE HAMPTON BLVD STE 3A

WHITE PLAINS, NY 10604

GREENVILLE, SC 29607-3494

GREER, SC 29650

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: 325

NEW PALLADIUM HOSPICE AND PALLIATIVE CARE LLC

PATHWAY HOSPICE LLC

VCARE HOSPICE LLC

WREN HOSPICE 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

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

Anderson, Greenville, Laurens, Pickens, Spartanburg

Abbeville, Anderson, Cherokee, Greenville, Greenwood, Laurens, McCormick,

Newberry, Oconee, Pickens, Saluda, Spartanburg, Union

Totals For Facility/License Type: Hospice Program

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 24: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

24 hlfactcc.rdf

GreenvilleCounty:

Hospital or Institutional General InfirmaryFacility Type:

CAROLINA CENTER FOR BEHAVIORAL HEALTH

PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL

PRISMA HEALTH GREER MEMORIAL HOSPITAL

PRISMA HEALTH HILLCREST HOSPITAL

PRISMA HEALTH NORTH GREENVILLE LONG TERM ACUTE CARE

HOSPITAL

PH#:

AGNEW JAMES S PH#:

TAYLOR MD SPENCER M PH#: 864-797-8000

PH#:

TAYLOR MD SPENCER M PH#: 864-455-9206

138

864

82

43

45

2700 E PHILLIPS RD

701 GROVE RD

830 S BUNCOMBE RD

729 SE MAIN ST

807 N MAIN ST

Greenville / Corporation

Greenville / Corporation

Greenville / Corporation

Greenville / Corporation

Greenville / Corporation

HTL-0806 / 08/31/2020

HTL-0936 / 10/31/2020

HTL-0934 / 10/31/2020

HTL-0931 / 10/31/2020

HTL-0935 / 10/31/2020

GREER, SC 29650-4815 FAC.#:864-235-2335

GREENVILLE, SC 29605-5611 FAC.#:864-455-7000

GREER, SC 29650-2400 FAC.#:864-797-8000

SIMPSONVILLE, SC 29681-3280 FAC.#:864-454-6100

TRAVELERS REST, SC 29690-1598 FAC.#:864-455-9206

2700 E PHILLIPS RD

701 GROVE RD

830 S BUNCOMBE RD

729 SE MAIN ST

807 N MAIN ST

GREER, SC 29650-4815

GREENVILLE, SC 29605

GREER, SC 29650

SIMPSONVILLE, SC 29681

TRAVELERS REST, SC 29690-1598

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

746

82

43

45

Psychiatric:

Psychiatric:

Psychiatric:

Psychiatric:

Psychiatric:

117

65

0

0

0

Rehab:

Rehab:

Rehab:

Rehab:

Rehab:

0

53

0

0

0

Substance Abuse:

Substance Abuse:

Substance Abuse:

Substance Abuse:

Substance Abuse:

21

0

0

0

0

Other Beds :

Other Beds :

Other Beds :

Other Beds :

Other Beds :

NICU:

NICU:

NICU:

NICU:

NICU:

0

12

1

0

0

Neonatal Special Care:

Neonatal Special Care:

Neonatal Special Care:

Neonatal Special Care:

Neonatal Special Care:

0

68

0

0

0

UHS OF GREENVILLE LLC

PRISMA HEALTH-UPSTATE

PRISMA HEALTH-UPSTATE

PRISMA HEALTH-UPSTATE

PRISMA HEALTH-UPSTATE

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Certifications:

Certifications:

Certifications:

Certifications:

Certifications:

JCAHO Accredited

Abortions, Trauma Center Level I, Perinatal Level III Regional, JCAHO Accredited

Perinatal Level II, JCAHO Accredited

JCAHO Accredited

JCAHO Accredited

Page 25: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

25 hlfactcc.rdf

GreenvilleCounty:

Hospital or Institutional General InfirmaryFacility Type:

PRISMA HEALTH PATEWOOD HOSPITAL

REGENCY HOSPITAL OF GREENVILLE

SHRINERS' HOSPITAL FOR CHILDREN

SPRINGBROOK BEHAVIORAL HEALTH SYSTEM

ST FRANCIS-DOWNTOWN

PH#:

BEAUREGARD PAIGE PH#: 864-255-1401

MUNLEY WILLIAM E PH#: 864-271-3444

ROWLEY MIKE PH#: 864-834-8013

CALDWELL MATTHEW T PH#:

72

32

50

62

245

175 PATEWOOD DR

1 SAINT FRANCIS DR 4TH FLOOR

950 W FARIS RD

1 HAVENWOOD LN STE A

1 SAINT FRANCIS DR

Greenville / Corporation

Greenville / Ltd. Liability

Greenville / Non-Profit Corporation

Greenville / Corporation

Greenville / Corporation

HTL-0933 / 10/31/2020

HTL-0882 / 12/31/2020

HTL-0069 / 02/28/2021

HTL-0442 / 08/31/2020

HTL-0794 / 12/31/2020

GREENVILLE, SC 29615-3570 FAC.#:864-797-1000

GREENVILLE, SC 29601-3999 FAC.#:864-255-1401

GREENVILLE, SC 29605-4277 FAC.#:864-271-3444

TRAVELERS REST, SC 29690-9447 FAC.#:864-834-8013

GREENVILLE, SC 29601-3999 FAC.#:864-255-1000

175 PATEWOOD DR

4717 GETTYBURG RD

950 W FARIS RD

1 HAVENWOOD LN STE A

1 SAINT FRANCIS DR

GREENVILLE, SC 29615-3593

MECHANICSBURG, PA 17055

GREENVILLE, SC 29605-4277

TRAVELERS REST, SC 29690-9447

GREENVILLE, SC 29601-3999

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:

72

32

50

0

226

Psychiatric:

Psychiatric:

Psychiatric:

Psychiatric:

Psychiatric:

0

0

0

56

0

Rehab:

Rehab:

Rehab:

Rehab:

Rehab:

0

0

0

0

19

Substance Abuse:

Substance Abuse:

Substance Abuse:

Substance Abuse:

Substance Abuse:

0

0

0

6

0

Other Beds :

Other Beds :

Other Beds :

Other Beds :

Other Beds :

NICU:

NICU:

NICU:

NICU:

NICU:

0

0

0

0

0

Neonatal Special Care:

Neonatal Special Care:

Neonatal Special Care:

Neonatal Special Care:

Neonatal Special Care:

0

0

0

0

0

PRISMA HEALTH - UPSTATE

REGENCY HOSPITAL OF GREENVILLE LLC

SHRINERS' HOSPITAL FOR CHILDREN INC

CHESTNUT HILL MENTAL HEALTH CENTER INC

ST FRANCIS HOSPITAL INC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Certifications:

Certifications:

Certifications:

Certifications:

Certifications:

Perinatal Level I, JCAHO Accredited

JCAHO Accredited

JCAHO Accredited

JCAHO Accredited

JCAHO Accredited

Page 26: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

26 hlfactcc.rdf

GreenvilleCounty:

Hospital or Institutional General InfirmaryFacility Type:

ST FRANCIS-EASTSIDE

CALDWELL MATTHEW T PH#:

93

125 COMMONWEALTH DR

Greenville / Corporation

HTL-0793 / 12/31/2020

GREENVILLE, SC 29615-4812 FAC.#:864-675-4000

1 SAINT FRANCIS DR

GREENVILLE, SC 29601-3999

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

Licensed Beds: General: 93 Psychiatric: 0 Rehab: 0 Substance Abuse: 0

Other Beds : NICU: 0 Neonatal Special Care: 14

Number of Activities/Facilities licensed: 11 Number Licensed Units: 1,726

ST FRANCIS HOSPITAL INC

Totals For Facility/License Type: Hospital or Institutional General Infirmary

Facility Email: [email protected]

Licensed

Units

Certifications:Perinatal Level II, JCAHO Accredited

Page 27: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

27 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

A TOUCH OF LIFE CARE AGENCY LLC

AAA CARE LLC

ABOVE & BEYOND CARE SERVICES LLC

ABUNDANCE OF GRACE HOME CARE SERVICES

ACCESS HEALTH CARE SERVICES INC OF GREENVILLE

ADDUS HOME CARE - GREENVILLE

ALL HEARTS HOMECARE LLC

ALL WAYS CARING HOME CARE

HILL LEONARD PH#:

PH#:

FERGUSON TAMI PH#: 864-236-4333

PH#:

PH#:

PH#:

PH#:

DENT SMITH LAURIE PH#: 864-235-5141

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

159 COMMON WAY STE E

3505 PELHAM RD STE B

103 COMMONS WAY STE C

1 CHICK SPRINGS RD STE 214-A

1901 LAURENS RD STE G

415 N PLEASANTBURG DR STE D

1200 WOODRUFF RD STE A3

111 PELHAM COMMONS BLVD

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Sole Proprietorship

Greenville / Limited Liability

Greenville / Corporation

Greenville / Corporation

Greenville / Limited Liability

Greenville / Corporation

IHCP-0928 / 09/30/2020

IHCP-0185 / 06/30/2021

IHCP-0865 / 04/30/2020 (Renewal Pending)

IHCP-1192 / 04/30/2021

IHCP-0206 / 06/30/2021

IHCP-0201 / 06/30/2021

IHCP-0085 / 03/31/2021

IHCP-0014 / 05/31/2021

GREENVILLE, SC 29609 FAC.#:864-335-8321

GREENVILLE, SC 29615 FAC.#:864-295-1949

GREENVILLE, SC 29611 FAC.#:864-434-0880

GREENVILLE, SC 29609 FAC.#:864-631-6085

GREENVILLE, SC 29607-5186 FAC.#:864-242-1947

GREENVILLE, SC 29607-2127 FAC.#:864-250-0016

GREENVILLE, SC 29607-5732 FAC.#:864-213-2146

GREENVILLE, SC 29615 FAC.#:864-242-4872

143 COMMONS WAY

PO BOX 16645

2300 WARRENVILLE RD STE 100

PO BOX 623

1350 CLEVELAND ST STE B

GREENVILLE, SC 29611-3850

GREENVILLE, SC 29606

DOWNERS GROVE, IL 60515-1700

MAULDIN, SC 29662

GREENVILLE, SC 29607-2457

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

A TOUCH OF LIFE CARE AGENCY LLC

AAA CARE LLC

MONIQUE TAMI

ABUNDANCE OF GRACE HOME CARE SERVICES LLC

ACCESS HEALTH CARE SERVICES INC

ADDUS HEALTHCARE (SOUTH CAROLINA) INC DBA ADDUS HOME CARE

ALL HEARTS HOMECARE LLC

SOUTHERN HOME CARE SERVICES INC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 28: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

28 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

ALLEGIANT QUALITY HOME CARE LLC

ALPHA ONE STAFFING LLC

ALWAYS BEST CARE OF GREENVILLE/SPARTANBURG

AN ANGELS TOUCH HHS LLC

ANGELIC HANDS OF THE CAROLINAS HOMECARE LLC

ANGELIC HEARTS HOMECARE AGENCY LLC

ANNIES ANGELS HOME CARE LLC

ASTONISHING ANGELS HOMECARE LLC

TROTTER ANITA PH#:

PH#:

PH#:

OWENS FARRAH PH#: 864-787-3909

SIMMONS DEBBIE PH#: 864-558-1287

PH#:

PH#:

ANDERSON PAMELA PH#: 864-724-9824

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

210 WEST STONE AVE UNIT C2

1200 WOODRUFF ROAD BLDG A-3

33 MARKET POINT DR

1402 LAURENS RD

1200 WOODRUFF ROAD A3

127 COMMONS WAY STE A

408 E BUTLER RD STE C

2320 E NORTH ST STE RR107

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville /

Greenville / Limited Liability

Greenville / Limited Liability

IHCP-1211 / 05/30/2021

IHCP-0356 / 04/30/2020 (Renewal Pending)

IHCP-0136 / 05/31/2021

IHCP-0926 / 03/31/2021

IHCP-0942 / 11/30/2020

IHCP-0566 / 07/31/2020

IHCP-0284 / 07/31/2020

IHCP-0922 / 09/30/2020

GREENVILLE, SC 29609 FAC.#:864-230-7263

GREENVILLE, SC 29607 FAC.#:864-990-8704

GREENVILLE, SC 29607 FAC.#:864-527-0464

GREENVILLE, SC 29607-2345 FAC.#:864-729-8147

GREENVILLE, SC 29607 FAC.#:864-747-3932

GREENVILLE, SC 29611 FAC.#:864-248-4770

MAULDIN, SC 29662 FAC.#:864-551-5165

GREENVILLE, SC 29607 FAC.#:864-979-7794

213 E BUTLER RD STE D-2

33 MARKET POINT DR

1 CHICK SPRINGS RD STE 113A

408 E BUTLER RD STE C

2320 E NORTH ST STE RR107

MAULDIN, SC 29662

GREENVILLE, SC 29607

GREENVILLE, SC 29609

MAULDIN, SC 29662

GREENVILLE, SC 29607

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

ALLEGIANT QUALITY HOME CARE LLC

ALPHA ONE STAFFING LLC

CHARIS UNLIMITED LLC

AN ANGELS TOUCH HHS LLC

ANGELIC HANDS OF THE CAROLINAS HOMECARE LLC

ANGELIC HEARTS HOMECARE AGENCY LLC

ANNIES ANGELS HOME CARE LLC

ASTONISHING ANGELS HOMECARE LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 29: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

29 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

AT HOME PROFESSIONAL CARE OF SOUTH CAROLINA LLC

ATTENTIVE CARE SERVICES LLC

BAYADA HOME CARE - GREENVILLE

BLESSED WITH GOODNESS LLC

BLEST HOPE HOME CARE LLC

CAPITAL HEALTH SERVICE

CARE COMPANIONS OF SOUTH CAROLINA LLC

CARE FOR ALL LLC

PH#:

FERGUSON TAMI PH#: 864-236-4333

RANDALL SUE PH#: 864-448-5000

DIXON AFRICA PH#: 864-520-8213

PH#:

PH#:

PH#:

MCKNIGHT-HILL NACCOYA PH#: 864-295-2895

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

1 CHICK SPRINGS RD STE 102

103 COMMONS WAY

25 WOODS LAKE RD BUILDING 5 STE 505

716 E FAIRFIELD RD UNIT 120

8 SYCAMORE DR STE B 8B

526 S MAIN ST

1 CHICK SPRINGS RD STE 201-E

3204 WHITE HORSE RD STE D

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Ltd. Liability

Greenville / Limited Liability

Greenville / Sole Proprietorship

IHCP-1076 / 05/31/2020 (Renewal Pending)

IHCP-1118 / 09/30/2020

IHCP-0208 / 06/30/2021

IHCP-0591 / 10/31/2020

IHCP-1172 / 03/31/2021

IHCP-0028 / 12/31/2020

IHCP-0525 / 02/28/2021

IHCP-0760 / 07/31/2021

GREENVILLE, SC 29609-4913 FAC.#:864-631-1733

GREENVILLE, SC 29611 FAC.#:864-236-4333

GREENVILLE, SC 29607 FAC.#:864-448-5000

GREENVILLE, SC 29605 FAC.#:864-520-8213

GREENVILLE, SC 29607 FAC.#:864-535-1825

SIMPSONVILLE, SC 29681-3220 FAC.#:864-228-3604

GREENVILLE, SC 29609 FAC.#:864-626-3166

GREENVILLE, SC 29611 FAC.#:864-295-2895

25 WOODS LAKE RD BUILDING 5 STE 505

716 E FAIRFIELD RD UNIT 120, MAILBOX #14

526 S MAIN ST

1 CHICK SPRINGS RD STE 201-E

GREENVILLE, SC 29607

GREENVILLE, SC 29605

SIMPSONVILLE, SC 29681-3220

GREENVILLE, SC 29609

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

AT HOME PROFESSIONAL CARE OF SOUTH CAROLINA LLC

ATTENTIVE CARE SERVICES LLC

BAYADA HOME HEALTH CARE INC

BLESSED WITH GOODNESS LLC

BLEST HOPE HOME CARE LLC

CAPITAL HEALTH SERVICE LLC

CARE COMPANIONS OF SOUTH CAROLINA LLC

CARE FOR ALL LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 30: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

30 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

CARING HEARTS HOMECARE AGENCY LLC

CARING HEARTS IN HOME CARE

CARING HELPERS LLC

CAROLINA NURSING ASSOCIATES LLC

COMFORT CARE PROVIDERS LLC

COMFORT KEEPERS OF GREENVILLE

COMMUNITY HOME CARE SERVICES LLC

COMPASSIONATE HANDS HOMECARE SERVICES LLC

PH#:

GARY ANDRE PH#: 864-603-1419

PAULOS HIWOT PH#: 864-293-7479

PH#:

PH#:

PH#:

CANNON-ANDERSON CHARLES PH#: 864-303-4052

PH#:

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

103 E BUTLER RD STE E

209 PINE KNOLL DR STE C

25 WOODS LAKE RD STE 316

880 S PLEASANTBURG DR STE 2E

1200 WOODRUFF RD STE A-3

1200 HAYWOOD RD

294 S PLEASENTBURG DR

127 COMMONS WAY

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

IHCP-0131 / 04/30/2021

IHCP-1106 / 09/30/2020

IHCP-0115 / 03/31/2021

IHCP-0086 / 03/31/2021

IHCP-0111 / 04/30/2021

IHCP-0081 / 03/31/2021

IHCP-0536 / 04/30/2021

IHCP-0371 / 09/30/2020

MAULDIN, SC 29662 FAC.#:864-283-6691

GREENVILLE, SC 29609 FAC.#:864-603-1419

GREENVILLE, SC 29607-2450 FAC.#:864-233-1799

GREENVILLE, SC 29607-2451 FAC.#:864-370-7200

GREENVILLE, SC 29607 FAC.#:864-421-6894

GREENVILLE, SC 29615-1255 FAC.#:864-268-8993

GREENVILLE, SC 29607 FAC.#:864-236-1961

GREENVILLE, SC 29611 FAC.#:864-248-6475

PO BOX 1032

880 S PLEASANTBURG DR STE 2D

880 S PLEASANTBURG DR STE 2E

1200 WOODRUFF RD STE A-3

26 RUSHMORE DR

40 SHERMAN LN

1 CHICK SPRINGS RD STE 207A

MAULDIN, SC 29662

GREENVILLE, SC 29607-2450

GREENVILLE, SC 29607-2451

GREENVILLE, SC 29607

GREENVILLE, SC 29615-1255

GREENVILLE, SC 29605

GREENVILLE, SC 29609-4976

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

CARING HEARTS HOMECARE AGENCY LLC

CARING HEARTS IN HOME CARE LLC

CARING HELPERS LLC

CAROLINA NURSING ASSOCIATES LLC

COMFORT CARE PROVIDERS LLC

KIKI'S KARE LLC

COMMUNITY HOME CARE SERVICES LLC

COMPASSIONATE HANDS HOMECARE SERVICES LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 31: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

31 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

COMPLETE HOMECARE OF AMERICA INC

CORNERSTONE COMPASSIONATE CARE LLC

CORPORATE CARE LLC GREENVILLE

CORPORATE CARE LLC-GREENWOOD

COVENANT HOME CARE OF SOUTH CAROLINA

DAISYS ALLCARE INHOME SERVICES LLC

DIVINE HEALING HOME CARE SERVICES LLC

DIVINE HEARTS HOMECARE LLC

PH#:

CASON MARQUETTA PH#: 706-339-0635

PH#:

COOLEY CAROLYN PH#: 864-250-0403

CHEN RUSSELL M PH#: 864-655-5098

JACKSON TOSHIUS PH#:

PH#:

PH#:

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

128 MILLPORT CIR STE 200

406 SPRING MEADOW RD

811 PENDLETON ST STE 2

811 PENDELETON ST STE #2

1115 TANNER RD STE 607

44 PINE KNOLL DR STE C

120 HALTON RD STE 17

730 SOUTH PLEASANTBURG DR STE H

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

IHCP-0272 / 08/31/2020

IHCP-1100 / 03/30/2021

IHCP-0316 / 08/31/2020

IHCP-0948 / 01/31/2021

IHCP-1021 / 05/31/2021

IHCP-0132 / 04/30/2020 (Renewal Pending)

IHCP-0192 / 06/30/2021

IHCP-0162 / 05/31/2021

GREENVILLE, SC 29607-5573 FAC.#:864-351-9350

SIMPSONVILLE, SC 29680 FAC.#:864-688-2028

GREENVILLE, SC 29606 FAC.#:864-250-0403

GREENVILLE, SC 29601 FAC.#:864-350-0928

TAYLORS, SC 29687 FAC.#:864-517-4834

GREENVILLE, SC 29609-3251 FAC.#:864-243-8540

GREENVILLE, SC 29607 FAC.#:864-987-0620

GREENVILLE, SC 29607 FAC.#:864-234-0045

128 MILLPORT CIR STE 200

PO BOX 16148

44 PINE KNOLL DR STE C

310 LAUREL TREE LN

730 S PLEASANTBURG DR STE H

GREENVILLE, SC 29607-5573

GREENVILLE, SC 29606-7148

GREENVILLE, SC 29609-3251

SIMPSONVILLE, SC 29681-5142

GREENVILLE, SC 29607

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

COMPLETE HOMECARE OF AMERICA INC

CORNERSTONE COMPASSIONATE CARE LLC

CORPORATE CARE LLC

CORPORATE CARE LLC-GREENWOOD

COVENANT HOME CARE OF SOUTH CAROLINA LLC

DAISYS ALLCARE INHOME SERVICES LLC

DIVINE HEALING HOME HEALTH CARE SERVICES LLC

DIVINE HEARTS HOMECARE LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 32: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

32 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

DYNASTY HOME CARE

ELITE HOME CARE GREENVILLE

ENLIGHTENED HOME CARE LLC

ESSENTIAL CARE SERVICES LLC

ESSENTIALLY PREFERRED HOME CARE SERVICES LLC

FIRSTLIGHT HOMECARE OF GREENVILLE

FROM THE HEART HOMECARE

GENESIS HOME CARE SERVICES

WHITE LAKISHA B PH#: 864-559-0626

SPENCER VICTORIA PH#: 864-663-1943

LITTMAN AMBER PH#: 864-202-6968

DIRTON LOLA PH#: 864-655-7600

GRISSON KIMBERLY PH#: 864-438-1660

PH#:

TATE TAWANNA PH#: 864-520-1131

MITCHELL TIEQUENCCIA PH#: 864-551-0277

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

210 WEST STONE AVE STE LR5

211 VILLAGE DR

309 SE MAIN ST STE 204

504 N MAIN ST

1 CHICK SPRINGS RD STE 313A

25 WOODS LAKE RD STE 300

501 W BUTLER RD STE G

25 WOODS LAKE RD STE 506

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

IHCP-0666 / 01/31/2021

IHCP-0925 / 09/30/2020

IHCP-1089 / 02/28/2021

IHCP-0379 / 01/31/2021

IHCP-1053 / 05/31/2021

IHCP-0089 / 03/31/2021

IHCP-0821 / 05/31/2021

IHCP-0345 / 09/30/2020

GREENVILLE, SC 29609 FAC.#:864-248-6334

GREER, SC 29651-1238 FAC.#:864-580-6477

SIMPSONVILLE, SC 29681 FAC.#:864-206-5630

GREER, SC 29650 FAC.#:864-655-7600

GREENVILLE, SC 29609-4965 FAC.#:864-438-1660

GREENVILLE, SC 29607-2762 FAC.#:864-438-2995

GREENVILLE, SC 29607 FAC.#:864-520-1131

GREENVILLE, SC 29607 FAC.#:864-551-1496

PO BOX 1181

504 N MAIN ST

25 WOODS LAKE RD STE 300

880 S PLEASANTBURG DR STE 2E OFFICE A

SPARTANBURG, SC 29304-1181

GREER, SC 29650-1653

GREENVILLE, SC 29607-2762

GREENVILLE, SC 29607-2451

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

DYNASTY HOME HEALTH CARE LLC

ELITE HOMECARE LLC

ELIGHTENED HOME CARE LLC

ESSENTIAL CARE SERVICES LLC

ESSENTIALLY PREFERRED HOME CARE SERVICES

UPSTATE HOME CARE LLC

FROM THE HEART HOMECARE LLC

GENESIS HOME CARE SERVICES

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

KENYOTTAHOLLIDAY@ENLIGHTENEDHOMECARELLC

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 33: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

33 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

GOLDEN HOMECARE SOLUTIONS LLC

GREENVILLE IN HOME CARE

GUARDIAN ANGELS OF THE UPSTATE

HANDS OF HOPE HEALTH CARE SERVICES

HANDS THRU US HOMECARE

HEART OF THE CAROLINAS LLC

HEAVENLY CARE SERVICES LLC

HEAVENS ANGEL HOME CARE AGENCY

PH#:

SCHREIBER ASHLEY PH#: 864-688-9142

PH#:

PH#:

DILLARD DEANA PH#: 864-609-4336

HENDERSON FRANK L PH#: 864-905-1768

PH#:

CHEEKS TONYA T PH#: 864-787-7492

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

3 WINCHESTER CT STE 3B

2320 E NORTH ST STE D-2

8 SYCAMORE DR STE B10

159 COMMONS WAY STE A

1429 AUGUSTA ST

213 E BUTLER RD STE F2

1990 AUGUSTA ST STE 200

20 S POINSETT HWY STE C

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville /

IHCP-0220 / 07/31/2020

IHCP-1065 / 07/31/2020

IHCP-0813 / 11/30/2020

IHCP-0217 / 07/31/2020

IHCP-0495 / 01/31/2021

IHCP-0387 / 07/31/2020

IHCP-0056 / 01/31/2021

IHCP-0915 / 07/31/2020

MAULDIN, SC 29662 FAC.#:864-558-0848

GREENVILLE, SC 29607 FAC.#:864-688-9142

GREENVILLE, SC 29607 FAC.#:864-412-8800

GREENVILLE, SC 29609 FAC.#:864-603-2610

GREENVILLE, SC 29605 FAC.#:864-609-4336

MAULDIN, SC 29662 FAC.#:864-990-4345

GREENVILLE, SC 29605 FAC.#:864-233-4272

TRAVELERS REST, SC 29690 FAC.#:864-990-5202

419 SE MAIN ST STE 300B

8 SYCAMORE DR STE B6

1429 AUGUSTA RD

300 W BUTLER RD STE A

PO BOX 8122

SIMPSONVILLE, SC 29681-2651

GREENVILLE, SC 29607

GREENVILLE, SC 29605

MAULDIN, SC 29662

GREENVILLE, SC 29604-8122

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

GOLDEN HOMECARE SOLUTIONS

GREENVILLE IN HOME CARE LLC

GUARDIAN ANGELS OF THE UPSTATE

HANDS OF HOPE HEALTH CARE SERVICES LLC

HANDS THRU US HOMECARE INC

HEART OF THE CAROLINAS LLC

HEAVENLY CARE SERVICES

HEAVENS ANGEL HOME CARE AGENCY LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 34: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

34 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

HELPERS OF THE VINE

HELPFUL HEARTS CARE SERVICES

HOME CARE ASSISTANCE OF SOUTH CAROLINA

HOME CARE ASSISTANCE OF THE UPSTATE & MIDLANDS

HOME CARE ON DEMAND

HOME INSTEAD SENIOR CARE-GREENVILLE

HOMECARE NURSES LLC

HOMEWELL SENIOR CARE

DEWAR DONNA PH#: 864-627-3134

IRBY JAMES PH#:

DESMARTEAU ASHLEY PH#: 864-247-0234

DESMARTEAU ASHLEY PH#: 864-247-0234

YATES JAMARLO PH#: 864-729-2011

PH#:

PH#:

PH#:

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

1200 WOODRUFF RD STE A-3

1 CHICK SPRINGS RD STE 113B

620 HOWELL RD UNIT 10

7 BRENDAN WAY STE B

14 E BUTLER RD STE A

3505 PELHAM RD STE D

1115 TANNER RD STE 601

1200 WOODRUFF RD STE A12

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

IHCP-0625 / 05/31/2021

IHCP-0910 / 07/31/2020

IHCP-1115 / 05/31/2021

IHCP-0738 / 05/31/2020 (Renewal Pending)

IHCP-1095 / 07/31/2020

IHCP-0557 / 06/30/2021

IHCP-0154 / 05/31/2021

IHCP-0161 / 05/31/2020 (Renewal Pending)

GREENVILLE, SC 29607 FAC.#:864-627-3134

GREENVILLE, SC 29609 FAC.#:864-335-8891

GREENVILLE, SC 29615 FAC.#:864-247-0234

GREENVILLE, SC 29615-3514 FAC.#:864-289-9897

MAULDIN, SC 29680 FAC.#:864-201-2011

GREENVILLE, SC 29615 FAC.#:864-242-2228

TAYLORS, SC 29687 FAC.#:843-536-0272

GREENVILLE, SC 29607-5753 FAC.#:864-509-0080

3620 PELHAM RD STE 5 #337

1255 OAKMED PKWY

3505 PELHAM RD STE D

3040 E HWY 6 STE C

1200 WOODRUFF RD STE A12

GREENVILLE, SC 29615

SUNNYVALE, CA 94085

GREENVILLE, SC 29615

MULLINS, SC 29574

GREENVILLE, SC 29607-5753

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

HELPERS OF THE VINE INC

HELPFUL HEARTS CARE SERVICES LLC

HOME CARE ASSISTANCE OF SOUTH CAROLINA

HOME CARE ASSISTANCE OF SOUTH CAROLINA LLC

TRANSPORTATION ON DEMAND INC

BRICE HOLDINGS LLC

HOMECARE NURSES LLC

SC SENIOR HOME CARE LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 35: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

35 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

HOPE & GRACE LLC

HSSC HOMECARE

IN HELPING HANDS LLC

IN HOME ASSISTED LIVING

IN LOVING HANDS HOME CARE AGENCY

INFINITE LOVE CARE AGENCY

INFINITY HOMECARE SERVICES LLC

INTERIM HEALTHCARE OF THE UPSTATE PERSONAL CARE

PH#:

BLUE TRACIE PH#: 864-979-0846

PH#:

PH#:

PH#:

HILL LATONYA PH#:

GIST SONYA M PH#: 864-558-0195

COLOVIN KIERSTEN PH#:

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

1491 HENDERSON GAP RD

1200 WOODRUFF RD STE C-40

2 SHEARBROOK DR

500 MILLS AVE STE C-2

314 W GEORGIA RD

125 COMMONS WAY STE C

25 WOODLAKE ROAD BLDG 3 STE 307

16 HYLAND RD

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Sole Proprietorship

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

IHCP-0096 / 04/30/2021

IHCP-1020 / 02/28/2021

IHCP-0530 / 06/30/2020 (Renewal Pending)

IHCP-0858 / 05/31/2021

IHCP-0538 / 03/31/2021

IHCP-1214 / 06/30/2021

IHCP-0475 / 11/30/2020

IHCP-0834 / 01/31/2021

GREER, SC 29650-1554 FAC.#:864-848-1729

GREENVILLE, SC 29607 FAC.#:864-520-8388

MAULDIN, SC 29662 FAC.#:864-214-1268

GREENVILLE, SC 29605 FAC.#:864-214-3794

SIMPSONVILLE, SC 29681 FAC.#:864-757-9906

GREENVILLE, SC 29611 FAC.#:864-720-0200

GREENVILLE, SC 29607 FAC.#:864-527-0458

GREENVILLE, SC 29615-5756 FAC.#:864-627-1200

509 W POINSETT ST

2 SHEARBROOK DR

2320 E NORTH ST STE AA RM 111

1 CHICK SPRINGS RD STE 101-F

16 HYLAND RD

GREER, SC 29650-1554

MAULDIN, SC 29662

GREENVILLE, SC 29607

GREENVILLE, SC 29609-4953

GREENVILLE, SC 29615-5756

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

HOPE & GRACE LLC

HSSC HOMECARE LLC

IN HELPING HANDS LLC

IN HOME ASSISTED LIVING LLC

IN LOVING HANDS HOME CARE AGENCY LLC

INFINITE LOVE CARE AGENCY LLC

INFINITY HOMECARE SERVICES LLC

INVESTSOUTH IHC LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 36: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

36 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

JUST US CARING HEALTH CARE

KANDAKA CARE

LENDING A HAND IN HOME CARE

LIVE LONG WELL CARE OF CASCADES RETIREMENT

LOADS OF BLESSINGS

LOVING AND GENTLE CARE

LOVING THY NEIGHBOR HOMECARE SERVICES

LOWDEN'S HOME CARE LLC

PH#:

KHALID GHADA PH#:

MCGOWAN CLARICE PH#: 864-412-8566

HOOTS CORRY PH#:

PH#:

PH#:

PH#:

PH#:

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

2320 E NORTH ST STE GG RM 10

3 MEADOW FIELD CT

44 PINE KNOLL DR STE H3

10 FOUNTAINVIEW TER

716 E FAIRFIELD RD UNIT 114

2221 AUGUSTA ST

104 MAULDIN RD STE F

2710 WHITE HORSE RD

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Sole Proprietorship

Greenville / Limited Liability Company (single member)

Greenville / Limited Liability

Greenville / Sole Proprietorship

IHCP-0971 / 07/31/2020

IHCP-1132 / 10/31/2020

IHCP-1061 / 05/31/2021

IHCP-0063 / 02/28/2021

IHCP-1125 / 10/31/2020

IHCP-0006 / 12/31/2020

IHCP-0797 / 09/30/2020

IHCP-0921 / 07/31/2020

GREENVILLE, SC 29607 FAC.#:864-236-8006

SIMPSONVILLE, SC 29681 FAC.#:864-401-4287

GREENVILLE, SC 29609 FAC.#:864-412-8566

GREENVILLE, SC 29607-4033 FAC.#:864-528-5511

GREENVILLE, SC 29605 FAC.#:864-558-0044

GREENVILLE, SC 29605-1766 FAC.#:864-288-2617

GREENVILLE, SC 29605 FAC.#:864-991-3252

GREENVILLE, SC 29611-6145 FAC.#:864-908-2845

10 FOUNTAINVIEW TER

58A PKWY COMMONS WAY

GREENVILLE, SC 29607-4033

GREER, SC 29650

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

JUST US CARING HEALTH CARE LLC

KANDAKA CARE LLC

THE MCGOWAN COMPANY LLC

LIVE LONG WELL CARE LLC

LOADS OF BLESSINGS LLC

LOVING AND GENTLE CARE HOME HEALTH SERVICE LLC

LOVING THY NEIGHBOR HOMECARE SERVICES LLC

LOWDEN'S HOME CARE LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 37: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

37 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

MARY'S CARING HANDS

MOM'S 2 DAUGHTERS HOMECARE SERVICES

MTS MORE THAN SITTERS LLC

NEXT LEVEL HOME CARE

NOLAN HOME CARE

OASIS HOMECARE

OPTIMUM HEALTHCARE LLC

PALMETTO HOME CARE SERVICE

PH#:

PH#:

PH#:

NELSON JALESA PH#: 864-335-4070

NOLAN QUINYETTA PH#:

PH#:

PH#:

PH#:

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

301A MURRAY DR

200 E FARRS BRIDGE RD

145 COMMONS WAY

31 BOLAND CT STE 146

1 CHICK SPRINGS RD STE 313C

1 CHICK SPRINGS RD STE 114

622-A OLD EASLEY HWY

879 NE MAIN ST UNIT B

Greenville / Sole Proprietorship

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

IHCP-0852 / 06/30/2020 (Renewal Pending)

IHCP-1005 / 03/31/2021

IHCP-0305 / 08/31/2020

IHCP-0866 / 07/31/2020

IHCP-1046 / 06/30/2021

IHCP-1082 / 07/31/2020

IHCP-0048 / 01/31/2021

IHCP-0888 / 07/31/2020

MAULDIN, SC 29662 FAC.#:864-386-2026

GREENVILLE, SC 29617 FAC.#:864-263-7511

GREENVILLE, SC 29611-3850 FAC.#:864-236-8264

GREENVILLE, SC 29615 FAC.#:864-335-4070

GREENVILLE, SC 29609-4972 FAC.#:864-438-1280

GREENVILLE, SC 29609 FAC.#:864-603-2626

GREENVILLE, SC 29611-6521 FAC.#:864-552-1114

SIMPSONVILLE, SC 29681 FAC.#:864-438-0560

145 COMMONS WAY

622A OLD EASLEY HWY

GREENVILLE, SC 29611-3850

GREENVILLE, SC 29611-6521

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

MARY'S CARING HANDS

MOM'S 2 DAUGHTERS HOMECARE SERVICES LLC

MTS MORE THAN SITTERS LLC

NEXT LEVEL HOME CARE LLC

NOLAN HOME CARE LLC

THE OASIS AT CAMBRIDGE PARK LLC

OPTIMUM HEALTHCARE LLC

PALMETTO HOME CARE SERVICE LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 38: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

38 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

PALMETTO HOME CARE UPSTATE LLC

PEACE AT HOME HOME CARE SERVICES

PERSONAL CAREGIVERS LLC

PLAN HOME CARE

PRECISE HOMECARE SOLUTIONS LLC

PREMIUM TOUCH OF CARE ENTERPRISES

PRESTIGIOUS HOME CARE LLC

PRIME HOME CARE SERVICES

PH#:

DAVIS KRYSTAL PH#: 302-212-7611

PH#:

WILSON JESSIE PH#: 864-242-2555

PH#:

MCKNIGHT-HILL NACCOYA PH#: 864-295-2895

PH#:

PH#:

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

25 WOODS LAKE RD STE 301

1314 N MAIN ST STE C

9 SHOPPERS DR

1011 GROVE RD STE A-2

3104 GRANDVIEW DR STE C

141 TRACTION ST STE 43

1306 A W POINSETT ST

105 ARBORDALE LN

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

Greenville /

Greenville / Limited Liability

Greenville / Limited Liability

IHCP-0421 / 10/31/2020

IHCP-0859 / 04/30/2020 (Renewal Pending)

IHCP-0426 / 04/30/2021

IHCP-0223 / 07/31/2021

IHCP-0177 / 05/31/2021

IHCP-1235 / 06/30/2021

IHCP-1157 / 02/28/2021

IHCP-0811 / 01/31/2021

GREENVILLE, SC 29607-2762 FAC.#:864-272-1973

FOUNTAIN INN, SC 29644 FAC.#:864-351-9738

GREENVILLE, SC 29607 FAC.#:864-520-2136

GREENVILLE, SC 29605-4660 FAC.#:864-242-2555

SIMPSONVILLE, SC 29680-2821 FAC.#:864-757-1970

GREENVILLE, SC 29611 FAC.#:864-335-9047

GREER, SC 29650 FAC.#:864-309-3575

SIMPSONVILLE, SC 29680 FAC.#:864-881-8330

25 WOODS LAKE RD STE 301

PO BOX 6996

PO BOX 9238

PO BOX 81075

105 ARBORDALE LN

GREENVILLE, SC 29607-2762

GREENVILLE, SC 29607

GREENVILLE, SC 29605

SIMPSONVILLE, SC 29680-0018

SIMPSONVILLE, SC 29680

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

PALMETTO HOME CARE UPSTATE LLC

PEACE AT HOME HOME CARE SERVICES LLC

PERSONAL CAREGIVERS LLC

PLAN HOME CARE

PRECISE HOMECARE SOLUTIONS LLC

PREMIUM TOUCH OF CARE ENTERPRISES LLC

PRESTIGIOUS HOME CARE LLC

PRIME HOME CARE SERVICES LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 39: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

39 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

PROVIDED CARE IN HOME SERVICES LLC

PROVIDENCE HOME CARE SOLUTIONS

QUALITY CARE IN HOME CARE SERVICES LLC

RESTORATIVE HOMECARE SERVICES

RIGHT AT HOME - GREENVILLE SC

ROLLING GREEN VILLAGE HOME CARE

SAMARITAN BED AND BATH SERVICES INC

SECOND CHANCE

LATIMORE FALLON PH#: 864-200-2796

GADSON-HUGHES SHERRY PH#:

PH#:

PH#:

PH#:

TOERNER RYAN PH#: 864-987-9800

PH#:

WILLIAMS BERTHA REE PH#: 864-263-7245

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

25 WOODS LAKE RD STE 410

151 COMMONS WAY

904 PENDLETON ST

1200 WOODRUFF ROAD BLDG A-3 STE 163

3401 HWY 153 STE D

1 HOKE SMITH BLVD

316-A POPLAR ST

106 MAGGIE ST

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Corporation

Greenville / Limited Liability

IHCP-0499 / 05/31/2021

IHCP-0962 / 05/31/2020 (Renewal Pending)

IHCP-0429 / 01/31/2021

IHCP-0990 / 02/28/2021

IHCP-0159 / 05/31/2021

IHCP-0323 / 08/31/2020

IHCP-0439 / 09/30/2020

IHCP-1171 / 02/28/2021

GREENVILLE, SC 29607-2763 FAC.#:864-200-2796

GREENVILLE, SC 29611 FAC.#:864-626-3154

GREENVILLE, SC 29601-2314 FAC.#:864-907-4525

GREENVILLE, SC 29607 FAC.#:864-527-3157

POWDERSVILLE, SC 29673 FAC.#:864-609-1656

GREENVILLE, SC 29615-5308 FAC.#:864-987-9800

TRAVELERS REST, SC 29690-1528 FAC.#:864-834-4848

GREENVILLE, SC 29605 FAC.#:864-263-7245

25 WOODS LAKE RD STE 410

PO BOX 9042

PO BOX 747

1 HOKE SMITH BLVD

403 N MAIN ST

GREENVILLE, SC 29607-2763

GREENVILLE, SC 29604-9042

CLEMSON, SC 29633

GREENVILLE, SC 29615-5308

TRAVELERS REST, SC 29690-1528

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

PROVIDED CARE IN HOME SERVICES LLC

GSM HOME CARE INC

QUALITY CARE IN HOME CARE SERVICES LLC

RESTORATIVE HOMECARE SERVICES LLC

UPSTATE INTEGRITY LLC

ROLLING GREEN VILLAGE RETIREMENT COMMUNITY

SAMARITAN BED AND BATH SERVICES INC

SECOND CHANCE HOME HEALTH CARE LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 40: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

40 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

SELECT ONE HEALTHCARE SOLUTIONS LLC

SENIOR HELPERS OF GREENVILLE

SHILOH HOME CARE SERVICES LLC

SIMPLY LOVE HOME CARE SERVICES

SOUTHERN ARMS HOMECARE LLC

STAY AT HOME SENIOR CARE OF THE UPSTATE

SUPERIOR CARE IN HOME SERVICES

SWEET & GENTLE CARE HOMECARE AGENCY LLC

FOLLIS CHALAINE PH#: 864-520-1877

BOHMAN ROBERT PH#: 864-871-0080

MCCOMBS TEKEVIES PH#: 864-800-2544

PH#:

PH#:

WESTMORELAND TRACY PH#: 864-706-9125

LATIMORE FALLON PH#: 864-200-2796

PH#:

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

107 COMMONS WAY

114 WIILLIAMS ST STE B

1 CHICK SPRINGS RD STE 214B

128 MILLPORT CIR STE 200

44 PINE KNOLL DR STE A

554 MEMORIAL DR EXT STE D

25 WOODS LAKE RD STE 307

716 E FAIRFIELD RD STE 127

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

IHCP-0330 / 09/30/2020

IHCP-0197 / 04/30/2021

IHCP-1181 / 03/31/2021

IHCP-1222 / 06/30/2021

IHCP-0328 / 09/30/2020

IHCP-0946 / 12/31/2020

IHCP-0850 / 05/31/2021

IHCP-0849 / 03/31/2021

GREENVILLE, SC 29611 FAC.#:864-520-1877

GREENVILLE, SC 29601 FAC.#:864-757-9862

GREENVILLE, SC 29609 FAC.#:864-800-2544

GREENVILLE, SC 29607-5573 FAC.#:864-325-1111

GREENVILLE, SC 29609 FAC.#:864-509-9031

GREER, SC 29651 FAC.#:864-665-4100

GREENVILLE, SC 29607 FAC.#:864-200-2796

GREENVILLE, SC 29605 FAC.#:864-729-8998

107 COMMONS WAY

114 WILLIAMS ST STE B

12 PELHAM RD STE A

GREENVILLE, SC 29611

GREENVILLE, SC 29601

GREENVILLE, SC 29615

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

SELECT ONE HEALTHCARE SOLUTIONS LLC

COURT CONCEPTS LLC

TEKEVIES MCCOMBS

SIMPLE BRANDS LLC

SOUTHERN ARMS HOMECARE LLC

STAY AT HOME OF THE UPSTATE INC

SUPERIOR CARE IN HOME SERVICES LLC

SWEET & GENTLE CARE HOMECARE AGENCY LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 41: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

41 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

SYNERGY HOMECARE OF GREENVILLE

THAD'S DAUGHTERS HEALTH CARE

THE WOODLANDS AT FURMAN

THROUGH IT ALL

TOUCHOFCARE IN HOME CARE SERVICES

TRINITY HAVEN HOMECARE GROUP LLC

UNEEDA RESPITE & HOME CARE SERVICES LLC

UPLIFTING HANDS HOMECARE LLC

PH#:

PH#:

LILLY DONALD R PH#: 864-371-3100

PH#:

PH#:

PH#:

STEEPS SHALON PH#: 864-361-9349

VANCE WILLENA PH#: 864-704-2687

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

439 CONGAREE RD

44 PINE KNOLL DR STE H-4

1500 TRAILHEAD CT

44 PINE KNOLL DR STE H-5

2320 E NORTH ST STE GG ROOM #7, N EXECUTIVE PLAZA

127 COMMONS WAYS STE C

61 ORR ST

8 SYCAMORE DR STE E-1

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Non-Profit Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

IHCP-0608 / 07/31/2020

IHCP-0766 / 01/31/2021

IHCP-0098 / 04/30/2021

IHCP-1199 / 04/30/2021

IHCP-1010 / 05/31/2021

IHCP-1229 / 06/30/2021

IHCP-1028 / 03/31/2021

IHCP-1078 / 06/30/2021

GREENVILLE, SC 29607 FAC.#:864-751-1913

GREENVILLE, SC 29609 FAC.#:864-244-1043

GREENVILLE, SC 29617-6226 FAC.#:864-371-3163

GREENVILLE, SC 29609

GREENVILLE, SC 29607 FAC.#:864-551-5805

GREENVILLE, SC 29611 FAC.#:864-335-9310

GREENVILLE, SC 29605 FAC.#:864-361-9349

GREENVILLE, SC 29607 FAC.#:864-252-4487

439 CONGAREE RD

44 PINE KNOLL DR STE H-4

1500 TRAILHEAD CT

GREENVILLE, SC 29607

GREENVILLE, SC 29609

GREENVILLE, SC 29617-6226

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

NOGIZAKA ASSOCIATES LLC

THAD'S DAUGHTERS HEALTH CARE LLC

UPSTATE SENIOR LIVING INC

THROUGH IT ALL HEALTHCARE LLC

TOUCHOFCARE IN HOME CARE SERVICES LLC

TRINITY HAVEN HOMECARE GROUP LLC

GENESIS HOME CARE LTD CO

UPLIFTING HANDS HOMECARE LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 42: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

42 hlfactcc.rdf

GreenvilleCounty:

Inhome Care ProviderFacility Type:

UPSTATE HOME CARE SOLUTIONS

UPSTATE LIVING WATER

VISITING ANGELS - UPSTATE SC

WINDSOR HOUSE HOMECARE

WRIGHT HOME CARE

XTRA HOMECARE SERVICES INC

PH#:

PH#:

PH#:

WILSON RENEE PH#: 864-288-9450

PH#:

PH#:

- 1

- 1

- 1

- 1

- 1

- 1

113 W ANTRIM DR

50 PARKINS MLL RD UNIT A

238 ADLEY WAY

1931 PELHAM RD

217 EAST STONE AVE STE 8

33 MARKET POINT DR

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

IHCP-0109 / 04/30/2021

IHCP-0754 / 10/31/2020

IHCP-0289 / 07/31/2020

IHCP-0806 / 11/30/2020

IHCP-0889 / 06/30/2021

IHCP-0224 / 07/31/2021

GREENVILLE, SC 29607 FAC.#:864-527-0455

GREENVILLE, SC 29607 FAC.#:864-569-5977

GREENVILLE, SC 29607-6511 FAC.#:864-284-6370

GREENVILLE, SC 29615-4002 FAC.#:864-288-9450

GREENVILLE, SC 29609 FAC.#:864-534-1804

GREENVILLE, SC 29607-5768 FAC.#:864-527-0466

113 W ANTRIM DR

340 BLAKELY AVE

PO BOX 25304

1931 PELHAM RD

PO BOX 25249

GREENVILLE, SC 29607

PIEDMONT, SC 29673

GREENVILLE, SC 29616-0304

GREENVILLE, SC 29615-4002

GREENVILLE, SC 29616-0249

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

Number of Activities/Facilities licensed: 126 Number Licensed Units: - 126

UPSTATE HOME HEALTH CARE SOLUTIONS LLC

UPSTATE LIVING WATER LLC

ANGEL HANDS LLC

WINDSOR HOUSE HOMECARE LLC

THE WRIGHT HOME CARE LLC

XTRA HOMECARE SERVICES INC

Totals For Facility/License Type: Inhome Care Provider

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 43: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

43 hlfactcc.rdf

GreenvilleCounty:

Nursing HomeFacility Type:

ARBORETUM AT THE WOODLANDS

BROOKDALE GREENVILLE

BRUSHY CREEK POST ACUTE

CARLYLE SENIOR CARE OF FOUNTAIN INN

PH#:

HUNTER ANDREA M PH#: 864-286-6600

COTTINGHAM LINDSAY PH#: 864-688-3800

STEWART LISA PH#: 864-862-2554

30

45

144

60

50 ARBORETUM LN

1306 PELHAM RD

101 COTTAGE CREEK CIR

501 GULLIVER ST

Greenville / Non-Profit Corporation

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

NCF-0957 / 06/30/2021

NCF-0785 / 10/31/2020

NCF-1024 / 01/31/2021

NCF-0985 / 07/31/2020

GREENVILLE, SC 29617-6227 FAC.#:864-371-3100

GREENVILLE, SC 29615-3600 FAC.#:864-286-6600

GREER, SC 29650-2438 FAC.#:864-688-3800

FOUNTAIN INN, SC 29644-2105 FAC.#:864-862-2554

50 ARBORETUM LN

1306 PELHAM RD

101 COTTAGE CREEK CIR

PO BOX 12519

GREENVILLE, SC 29617-6227

GREENVILLE, SC 29615-3600

GREER, SC 29650-2438

FLORENCE, SC 29504

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:

30

45

144

60

Institutional Nursing Home:

Institutional Nursing Home:

Institutional Nursing Home:

Institutional Nursing Home:

0

0

0

0

UPSTATE SENIOR LIVING INC

EMERICARE INC

GREER POST ACUTE LLC

CARLYLE SENIOR CARE OF FOUNTAIN INN LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

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

Page 44: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

44 hlfactcc.rdf

GreenvilleCounty:

Nursing HomeFacility Type:

GREENVILLE POST ACUTE

GREER REHABILITATION AND HEALTHCARE CENTER

HEARTLAND HEALTH CARE CENTER-GREENVILLE EAST

HEARTLAND HEALTH CARE CENTER-GREENVILLE WEST

LAWRENCE RA PH#:

PH#:

BURNETT NICOLE PH#:

LOYD DEREK PH#: 864-246-2721

132

133

132

125

661 RUTHERFORD RD

401 CHANDLER RD

601 SULPHUR SPRINGS RD

600 SULPHUR SPRINGS RD

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

NCF-1025 / 01/31/2021

NCF-1015 / 01/31/2021

NCF-0952 / 12/31/2020

NCF-0953 / 12/31/2020

GREENVILLE, SC 29609-4696 FAC.#:864-232-2442

GREER, SC 29651-1243 FAC.#:864-879-1370

GREENVILLE, SC 29617-1698 FAC.#:864-246-2721

GREENVILLE, SC 29617-1622 FAC.#:864-246-2721

661 RUTHERFORD RD

4 W RED OAK LN STE 201

601 SULPHUR SPRING RD

333 N SUMMIT ST, LICENSURE SUPPORT

GREENVILLE, SC 29609-4696

WHITE PLAINS, NY 10604

GREENVILLE, SC 29617

TOLEDO, OH 43604-1531

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:

132

133

132

125

Institutional Nursing Home:

Institutional Nursing Home:

Institutional Nursing Home:

Institutional Nursing Home:

0

0

0

0

GREENVILLE POST ACUTE LLC

SC-GA2018 GREER REHABILITATION AND HEALTHCARE CENTER LLC

OAKMONT EAST-GREENVILLE SC LLC

OAKMONT WEST-GREENVILLE SC LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

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

Page 45: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

45 hlfactcc.rdf

GreenvilleCounty:

Nursing HomeFacility Type:

LINVILLE COURTS AT THE CASCADES VERDAE

MAGNOLIA MANOR-GREENVILLE

NHC HEALTHCARE GREENVILLE

NHC HEALTHCARE MAULDIN

WOOD ZACHARY L PH#: 864-528-5529

LLOYD-TUCKER ASHLEY PH#:

MOORHOUSE BRYAN M PH#: 864-458-7566

SELLARS GIDEON A PH#: 864-675-6421

44

99

176

180

30 SPRINGCREST CT

411 ANSEL ST

1305 BOILING SPRINGS RD

850 E BUTLER RD

Greenville / Limited Liability

Greenville / Ltd. Liability

Greenville / Ltd. Liability

Greenville / Ltd. Liability

NCF-0956 / 04/30/2021

NCF-0860 / 08/31/2020

NCF-0807 / 06/30/2021

NCF-0796 / 06/30/2020 (Renewal Pending)

GREENVILLE, SC 29607-4034 FAC.#:864-528-5529

GREENVILLE, SC 29601-3499 FAC.#:864-232-5368

GREER, SC 29650-4139 FAC.#:864-458-7566

GREENVILLE, SC 29607-5842 FAC.#:864-675-6421

3530 TORINGDON WAY STE 204

411 ANSEL ST

1305 BOILING SPRINGS RD

850 E BUTLER RD

CHARLOTTE, NC 28277-3436

GREENVILLE, SC 29601-3499

GREER, SC 29650-4139

GREENVILLE, SC 29607-5842

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:

44

99

176

180

Institutional Nursing Home:

Institutional Nursing Home:

Institutional Nursing Home:

Institutional Nursing Home:

0

0

0

0

CASCADES NURSING LLC

THI OF SOUTH CAROLINA AT GREENVILLE LLC

NHC HEALTHCARE/GREENVILLE LLC

NHC HEALTHCARE/MAULDIN LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

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

Yes

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

Page 46: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

46 hlfactcc.rdf

GreenvilleCounty:

Nursing HomeFacility Type:

PATEWOOD REHABILITATION AND HEALTHCARE CENTER

POINSETT REHABILITATION AND HEALTHCARE CENTER

RIVER FALLS REHABILITATION AND HEALTHCARE CENTER

ROLLING GREEN VILLAGE HEALTH CARE FACILITY

GRIGGS TODD PH#:

ADDISON MICHELLE PH#: 864-295-1331

HAMMETT WARREN PH#: 864-836-6381

TOERNER RYAN PH#: 864-987-9800

120

132

44

74

2 GRIFFITH RD

8 N TEXAS AVE

2906 GEER HWY

1 HOKE SMITH BLVD

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Non-Profit Corporation

NCF-1013 / 01/31/2021

NCF-1016 / 01/31/2021

NCF-1020 / 01/31/2021

NCF-0456 / 10/31/2020

GREENVILLE, SC 29607-3503 FAC.#:864-990-1918

GREENVILLE, SC 29611-5034 FAC.#:864-295-1331

MARIETTA, SC 29661-9517 FAC.#:864-836-6381

GREENVILLE, SC 29615-5308 FAC.#:864-987-9800

4 W RED OAK LN STE 201

4 W RED OAK LN STE 201

4 W RED OAK LN STE 201

1 HOKE SMITH BLVD

WHITE PLAINS, NY 10604

WHITE PLAINS, NY 10604

WHITE PLAINS, NY 10604

GREENVILLE, SC 29615-5308

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

132

44

74

Institutional Nursing Home:

Institutional Nursing Home:

Institutional Nursing Home:

Institutional Nursing Home:

0

0

0

0

SC-GA2018 PATEWOOD REHABILITATION AND HEALTHCARECENTER LLC

SC-GA2018 POINSETT REHABILITATION AND HEALTHCARECENTER LLC

SC-GA2018 RIVER FALLS REHABILITATION AND HEALTHCARE CENTER LLC

ROLLING GREEN VILLAGE

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

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

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

Page 47: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

47 hlfactcc.rdf

GreenvilleCounty:

Nursing HomeFacility Type:

SIMPSONVILLE REHABILITATION AND HEALTHCARE CENTER

SOUTHPOINTE HEALTHCARE AND REHABILITATION

PH#:

BROOME KIRK PH#: 864-288-1415

132

120

807 SE MAIN ST

35 SOUTHPOINTE DR

Greenville / Limited Liability

Greenville / Ltd. Liability

NCF-1017 / 01/31/2021

NCF-0869 / 08/31/2020

SIMPSONVILLE, SC 29681-7150 FAC.#:864-963-6069

GREENVILLE, SC 29607-5956 FAC.#:864-288-1415

4 W RED OAK LN STE 201

35 SOUTHPOINTE DR

WHITE PLAINS, NY 10604

GREENVILLE, SC 29607-5956

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

Licensed Beds:

Licensed Beds:

Nursing Home:

Nursing Home:

132

120

Institutional Nursing Home:

Institutional Nursing Home:

0

0

Number of Activities/Facilities licensed: 18 Number Licensed Units: 1,922

SC-GA2018 SIMPSONVILLE REHABILITATION AND HEALTHCARE CENTER LLC

THI OF SOUTH CAROLINA AT MAGNOLIA PLACE AT GREENVILLE LLC

Totals For Facility/License Type: Nursing Home

Facility Email:

Facility Email:

[email protected]

[email protected]

Licensed

Units

Certifications:

Certifications:

Alzheimer Care:

Alzheimer Care:

None

None

No

No

Alzheimer Unit:

Alzheimer Unit:

No

No

Max # Resident:

Max # Resident:

Max # Beds:

Max # Beds:

0

0

0

0

Page 48: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

48 hlfactcc.rdf

GreenvilleCounty:

PSAD InpatientFacility Type:

PHOENIX CENTER DETOXIFICATION SERVICES

SERENITY PLACE

WHITE HORSE ACADEMY

OWENS JESSICA PH#: 864-367-7456

SMITH KIMBLEY PH#: 864-360-6579

SMITH KIMBLEY PH#: 864-360-6579

10

16

16

130 INDUSTRIAL DR

6 DUNEAN ST

975 FOOT HILLS RD

Greenville / County

Greenville / County

Greenville / County

ITP-0024 / 05/31/2021

ITP-0011 / 05/31/2021

ITP-0030 / 05/31/2021

GREENVILLE, SC 29607-3241 FAC.#:864-467-3770

GREENVILLE, SC 29611-6089 FAC.#:864-467-3751

GREENVILLE, SC 29617-6136 FAC.#:864-371-1280

PO BOX 1948

PO BOX 1948

PO BOX 1948

GREENVILLE, SC 29602-1948

GREENVILLE, SC 29602-1948

GREENVILLE, SC 29602-1948

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

Number of Activities/Facilities licensed: 3 Number Licensed Units: 42

Licensed Beds:

Licensed Beds:

Licensed Beds:

Medical Detox:

Medical Detox:

Medical Detox:

10

0

0

Social Detox:

Social Detox:

Social Detox:

0

0

0

Res. Trestment Program:

Res. Trestment Program:

Res. Trestment Program:

0

16

16

GREENVILLE COUNTY COMMISSION ON ALCOHOL AND DRUGABUSE

GREENVILLE COUNTY COMMISSION ON ALCOHOL AND DRUGABUSE

GREENVILLE COUNTY COMMISSION ON ALCOHOL AND DRUGABUSE

Totals For Facility/License Type: PSAD Inpatient

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 49: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

49 hlfactcc.rdf

GreenvilleCounty:

PSAD OutpatientFacility Type:

ADDCARE COUNSELING

BREAKTHROUGH MEDICAL

CROSSROADS TREATMENT CENTER OF GREENVILLE

DON FOSTER & ASSOCIATES INC

DRUG COURT TREATMENT GROUP

GREENVILLE COUNTY DETENTION CENTER (OTP)

BRADY ANGELA T PH#: 864-467-1319

FRANCIS LAURA PH#:

CRUMPTON KATIE PH#: 864-288-7636

KRAMER GLADYS PH#: 864-235-5666

PYLES ANZETTA PH#: 864-429-1656

VANDERMOSTEN JOHN PH#:

1

1

1

4

2

1

413 VARDRY ST STE 7

114B HOSPITAL DR

157 BROZZINI CT

104 MILLS AVE

305 E NORTH ST STE 320

20 MCGEE ST, DETENTION CENTER

Greenville / Corporation

Greenville / Limited Liability

Greenville / Professional Corporation

Greenville / Corporation

Greenville / State

Greenville / County

OTP-0083 / 12/31/2020

OTP-0201 / 09/30/2020

OTPN-0077 / 09/30/2020

OTP-0051 / 03/31/2021

OTP-0001 / 06/30/2020 (Renewal Pending)

OTP-0089 / 08/31/2020

GREENVILLE, SC 29601-3331 FAC.#:864-467-1319

SIMPSONVILLE, SC 29681 FAC.#:864-757-8561

GREENVILLE, SC 29615-5340 FAC.#:864-288-7636

GREENVILLE, SC 29605-4018 FAC.#:864-235-5666

GREENVILLE, SC 29601-2113 FAC.#:864-467-8277

GREENVILLE, SC 29601-2299 FAC.#:864-467-2422

413 VARDRY ST STE 7

114B HOSPITAL DR

105 N SPRING ST STE 109

104 MILLS AVE

305 E NORTH ST STE 320

20 MCGEE ST, DETENTION CENTER

GREENVILLE, SC 29601-3331

SIMPSONVILLE, SC 29681

GREENVILLE, SC 29601-2859

GREENVILLE, SC 29605-4018

GREENVILLE, SC 29601-2113

GREENVILLE, SC 29601-2299

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

ADDCARE COUNSELING INC

BREAKTHROUGH MEDICAL LLC

CROSSROADS TREATMENT CENTER OF GREENVILLE PC

DON FOSTER & ASSOCIATES INC

13TH CIRCUIT SOLICITORS OFFICE

GREENVILLE COUNTY COUNCIL

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Certifications:

Certifications:

Certifications:

Certifications:

Certifications:

Certifications:

None

None

Narcotics Treatment Program, Methodone Treatment Program

None

None

None

Page 50: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

50 hlfactcc.rdf

GreenvilleCounty:

PSAD OutpatientFacility Type:

GREENVILLE METRO TREATMENT CENTER

HOPE FOR FAMILIES RECOVERY CENTER

PAVILLON-GREENVILLE OUTPATIENT SERVICES

PHOENIX CENTER OUTPATIENT SERVICES

SOLUTIONS RECOVERY CENTER

HOLBROOK JENNIFER PH#:

HOLLINGSWORTH AMBER M PH#: 864-906-2395

SPEAR KENT N PH#: 864-241-6688

OWENS JESSICA PH#: 864-367-7456

CLEMENTS BRENT PH#:

1

1

1

2

1

602 AIRPORT RD STE C

136 MILESTONE WAY

101 PELHAM COMMONS BLVD

1400 CLEVELAND ST

520 LOWNDES HILL RD

Greenville / Limited Liability Limited Partnership

Greenville / Limited Liability

Greenville / Non-Profit Corporation

Greenville / County

Greenville /

OTPN-0091 / 02/28/2021

OTP-0119 / 11/30/2020

OTP-0102 / 11/30/2020

OTP-0071 / 05/31/2021

OTP-0180 / 01/31/2020 (Renewal Pending)

GREENVILLE, SC 29607-2617 FAC.#:864-234-7952

GREENVILLE, SC 29615 FAC.#:864-906-2395

GREENVILLE, SC 29615-4974 FAC.#:864-241-6688

GREENVILLE, SC 29607-2410 FAC.#:864-467-3790

GREENVILLE, SC 29607 FAC.#:888-819-4214

8529 SOUTHPARK CIR STE 270

136 MILESTONE WAY

101 PELHAM COMMONS BLVD

PO BOX 1948

207 WANTRIM DR

ORLANDO, FL 32819-9017

GREENVILLE, SC 29615

GREENVILLE, SC 29615-4974

GREENVILLE, SC 29602-1948

GREENVILLE, SC 29607

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

Number of Activities/Facilities licensed: 11 Number Licensed Units: 16

METRO TREATMENT OF SOUTH CAROLINA

HOPE FOR FAMILIES RECOVERY CENTER LLC

PAVILLON INTERNATIONAL

GREENVILLE COUNTY COMMISSION ON ALCOHOL AND DRUGABUSE

SOLUTIONS RECOVERY CENTER INC

Totals For Facility/License Type: PSAD Outpatient

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

BRENTCLEMENTS@SOLUTIONSRECOVERYCENTER

Licensed

Units

Certifications:

Certifications:

Certifications:

Certifications:

Certifications:

Narcotics Treatment Program, Methodone Treatment Program

None

None

None

None

Page 51: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

51 hlfactcc.rdf

GreenvilleCounty:

Renal DialysisFacility Type:

DOWNTOWN GREENVILLE DIALYSIS

GREENVILLE DIALYSIS CLINIC

GREER SOUTH DIALYSIS

GREER SOUTH HOME TRAINING

SALUDA RIVER DIALYSIS

U S RENAL CARE GREENVILLE DIALYSIS

HAMILTON BRITTANY PH#: 864-232-9456

GIBERT LISA PH#: 864-271-2002

WORLEY JENNIFER PH#: 864-877-8005

GOLDEN DOUGLAS PH#: 864-801-2065

PH#:

BRAGG RENEE PH#:

21

22

21

3

20

37

297 PETE HOLLIS BLVD

220 HOWE ST STE A

3254 BRUSHY CREEK RD

3254 BRUSHY CREEK RD STE A

8080 AUGUSTA RD

1004 GROVE RD

Greenville / Corporation

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability Company (single member)

Greenville / Limited Liability

Greenville / Corporation

ERD-0128 / 04/30/2021

ERD-0201 / 07/31/2020

ERD-0162 / 04/30/2021

ERD-0202 / 08/31/2020

ERD-0258 / 03/31/2021

ERD-0169 / 09/30/2020

GREENVILLE, SC 29601-1143 FAC.#:864-232-9456

GREENVILLE, SC 29601-3524 FAC.#:864-271-2002

GREER, SC 29650-1000 FAC.#:864-801-2065

GREER, SC 29650-1000 FAC.#:864-877-9157

PIEDMONT, SC 29673 FAC.#:615-320-4283

GREENVILLE, SC 29605 FAC.#:864-242-0802

5200 VIRGINIA WAY, LICENSING AND CERTIFICATION

220 HOWE ST STE 220A

5200 VIRGINIA WAY, LICENSING AND CERTIFICATION

5200 VIRGINIA WAY, LICENSING AND CERTIFICATION

PO BOX 251549

BRENTWOOD, TN 37027-7569

GREENVILLE, SC 29601-3524

BRENTWOOD, TN 37027-7569

BRENTWOOD, TN 37027-7569

PLANO, TX 75025-1500

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

0

17

37

Peritoneal:

Peritoneal:

Peritoneal:

Peritoneal:

Peritoneal:

Peritoneal:

0

2

0

3

3

0

TOTAL RENAL CARE INC

GREENVILLE DIALYSIS CLINIC LLC

TOTAL RENAL CARE INC

LONGWORTH DIALYSIS LLC

SUNRAYS DIALYSIS LLC

DIALYSIS NEWCO INC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 52: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

52 hlfactcc.rdf

GreenvilleCounty:

Renal DialysisFacility Type:

U S RENAL CARE PLEASANTBURG DIALYSIS

U S RENAL CARE PLEASANTBURG HOME DIALYSIS

U S RENAL CARE POWDERHORN DIALYSIS

UPSTATE DIALYSIS CENTER

US RENAL CARE HOLLY TREE DIALYSIS

US RENAL CARE TRAVELERS REST DIALYSIS

MCDAVID RN CAVETTA PATRICE PH#: 000-000-0000

MCDAVID RN CAVETTA PATRICE PH#: 000-000-0000

CAGLE MELISSA PH#: 864-962-2222

GLENN SAVANNAH PH#: 864-271-3700

SAUNDERS CLAIRE PH#:

WILKEY SABRINA PH#:

16

3

21

34

12

13

110 CHALMERS RD STE C

110 CHALMERS RD STE D

16 POWDERHORN RD

308 MILLS AVE

1328 HWY 14

36 S MAIN ST

Greenville / Corporation

Greenville / Limited Liability

Greenville / Corporation

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

ERD-0168 / 09/30/2020

ERD-0194 / 09/30/2020

ERD-0127 / 09/30/2020

ERD-0098 / 09/30/2020

ERD-0248 / 08/31/2020

ERD-0235 / 04/30/2021

GREENVILLE, SC 29605-1351 FAC.#:864-558-2365

GREENVILLE, SC 29605-1351 FAC.#:864-558-2375

SIMPSONVILLE, SC 29681-3399 FAC.#:864-962-2222

GREENVILLE, SC 29605-4022 FAC.#:864-271-3700

SIMPSONVILLE, SC 29681 FAC.#:864-881-4015

TRAVELERS REST, SC 29690 FAC.#:864-660-2050

PO BOX 251549

PO BOX 251549

PO BOX 251549

5200 VIRGINIA WAY STE 400, LICENSING AND CERTIFICATION

PO BOX 251549

PO BOX 251549

PLANO, TX 75025-1500

PLANO, TX 75025-1458

PLANO, TX 75025-1458

BRENTWOOD, TN 37027-7569

PLANO, TX 75025-1500

PLANO, TX 75025-1500

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:

16

0

21

30

11

13

Peritoneal:

Peritoneal:

Peritoneal:

Peritoneal:

Peritoneal:

Peritoneal:

0

3

0

4

3

0

DIALYSIS NEWCO INC

DSI GREENVILLE LLC

DIALYSIS NEWCO INC

TOTAL RENAL CARE INC

USRC MAULDIN LLC

DSI TRAVELERS REST LLC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 53: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

53 hlfactcc.rdf

GreenvilleCounty:

Renal DialysisFacility Type:

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

Number of Activities/Facilities licensed: 12 Number Licensed Units: 223

Totals For Facility/License Type: Renal Dialysis

Licensed

Units

Page 54: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

54 hlfactcc.rdf

GreenvilleCounty:

Residential Treatment for Children & AdolescentsFacility Type:

EXCALIBUR YOUTH SERVICES

PRISMA HEALTH MARSHALL I PICKENS CHILDRENS

SPRINGBROOK BEHAVIORAL HEALTH SYSTEM RTF

SHORT JOHN M PH#: 864-836-7220

FLAVIO CHUCK PH#:

ROWLEY MICHAEL PH#: 864-834-8013

60

22

73

3683 S INDUSTRIAL DR

701 GROVE RD

1 HAVENWOOD LN STE B

Greenville / Limited Liability

Greenville / Corporation

Greenville / Corporation

RTF-0022 / 12/31/2020

RTF-0031 / 10/31/2020

RTF-0001 / 08/31/2020

SIMPSONVILLE, SC 29681-3238 FAC.#:864-836-7220

GREENVILLE, SC 29605-5611 FAC.#:864-455-7834

TRAVELERS REST, SC 29690-9447 FAC.#:864-834-8013

PO BOX 968

1 HAVENWOOD LN STE B

TRAVELERS REST, SC 29690-0968

TRAVELERS REST, SC 29690-9447

Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date

County/Ownership TypeMailing/Billing AddressLicensee

Number of Activities/Facilities licensed: 3 Number Licensed Units: 155

EXCALIBUR YOUTH SERVICES LLC

PRISMA HEALTH-UPSTATE

CHESTNUT HILL MENTAL HEALTH CENTER INC

Totals For Facility/License Type: Residential Treatment for Children & Adolescents

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

Licensed

Units

Page 55: South Carolina Department of Health & Environmental ... · county:greenville facility type: adult day care active day of greenville all about our seniors adult day care capital health

South Carolina Department of Health & Environmental Control

Division of Health Licensing

July 7, 2020

55 hlfactcc.rdf

GreenvilleCounty:

Tattoo FacilityFacility Type:

FANATINK TATTOOS

MAGIC ROOSTER TATTOO

MAIN STREET STUDIO

MAIN STREET TATTOO ON WOODRUFF

RECKLESS HEART TATTOO

PH#:

PENCE JEFFREY L PH#:

BURRIS TIMOTHY & LINDSEY PH#: 864-380-1681

BURRIS LINDSEY E PH#:

HALL ALLISON J PH#: 864-991-8564

2

4

8

5

8

615 N MAIN ST

255 W BUTLER RD

303 N MAIN ST STE B

1178 WOODRUFF RD STE 7

477-L HAYWOOD RD

Greenville / Sole Proprietorship

Greenville / Limited Liability Company (single member)

Greenville / Sole Proprietorship

Greenville / Limited Liability

Greenville /

TF-0324 / 01/31/2021

TF-0181 / 02/28/2021

TF-0156 / 05/31/2021

TF-0145 / 08/31/2020

TF-0292 / 03/30/2021

MAULDIN, SC 29662 FAC.#:864-413-8893

MAULDIN, SC 29662-2536 FAC.#:864-400-8548

MAULDIN, SC 29662-2303 FAC.#:864-509-0099

GREENVILLE, SC 29607-4126 FAC.#:864-991-8395

GREENVILLE, SC 29607 FAC.#:864-991-8564

7 HUSHPAH CT

303 N MAIN ST STE B

477-L HAYWOOD RD

SIMPSONVILLE, SC 29680-7382

MAULDIN, SC 29662-2303

GREENVILLE, SC 29607

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: 27

Number of Activities/Facilities licensed in county of :

Number Licensed Units : 7,503

MEDINA GERMAN

MAGIC ROOSTER TATTOO LLC

BURRIS TIMOTHY & LINDSEY

MAIN STREET TATTOO LLC

RECKLESS HEART LLC

Totals For Facility/License Type: Tattoo Facility

Total Number of Activities/Facilities licensed: 282 Total Number Licensed Units: 7,503

Report Totals

Greenville 282# Lics:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units


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