county: horry facility type: adult day care · administrator/phone license nbr/expiration date...

South Carolina Department of Health & Environmental Control

Division of Health Licensing

March 6, 2018

1 hlfactcc.rdf

HorryCounty:

Adult Day CareFacility Type:

CONWAY ADULT DAY CARE

GRAND STRAND ACTIVE DAY CENTER

LORIS ADULT DAY CARE

JOHNSON KAREN T PH#: 843-369-2273

GRAINGER JESSICA PH#: 843-626-8501

CORRIGAN KATINA PH#: 843-716-2425

60

80

35

3320 4TH AVE

3880 HOUNDSFIELD AVE

3701 MAIN ST

Horry / Corporation

Horry / Corporation

Horry / Ltd. Liability

ADC-0165 / 05/31/2018

ADC-0129 / 10/31/2018

ADC-0277 / 10/31/2018

CONWAY, SC 29527 FAC.#:843-369-2273

MYRTLE BEACH, SC 29577-5792 FAC.#:843-626-8501

LORIS, SC 29569-2901 FAC.#:843-716-2425

3320 FOURTH AVE

6 NESHAMINY INTERPLEX STE 401

3701 MAIN ST

CONWAY, SC 29527

TREVOSE, PA 19053-6964

LORIS, SC 29569-2901

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

County/Ownership TypeMailing/Billing AddressLicensee

Number of Participants:



60

80

35

Number of Activities/Facilities licensed: 3 Number Licensed Units: 175

CONWAY ADULT DAY CARE INC

ACTIVE SC ONE INC

LORIS ADULT DAY CARE LLC

Totals For Facility/License Type: Adult Day Care

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

Licensed

Units



March 6, 2018

2 hlfactcc.rdf

HorryCounty:

Ambulatory SurgeryFacility Type:

CAROLINA BONE AND JOINT SURGERY CENTER

GRANDE DUNES SURGERY CENTER

PARKWAY SURGERY CENTER

RIVERTOWN SURGERY CENTER

STRAND GASTROINTESTINAL ENDOSCOPY CENTER

SKIPPER PAMELA W PH#: 843-236-6633

ROBERTS MISTY T PH#: 843-449-7885

ANDERSON KIRSTEN PH#: 843-286-2020

VICK ALISON PH#: 843-347-9587

KELLEY CHRISTINE T PH#: 843-839-2581

4

5

3

6

2

101 SURGEONS DR

1021 MEDICAL CIR STE 100

827 82ND PKWY

822 FARRAR DR, RIVERTOWN MEDICAL PARK

945 82ND PKWY STE 2





Horry / Corporation

ASF-0077 / 11/30/2018

ASF-0069 / 01/31/2018 (Renewal Pending)

ASF-0061 / 10/31/2018

ASF-0073 / 01/31/2019

ASF-0062 / 11/30/2018




CONWAY, SC 29526-8747 FAC.#:843-347-9587


101 SURGEONS DR

1021 MEDICAL CIR STE 100

827 82ND PKWY

822 FARRAR DR, RIVERTOWN MEDICAL PARK

945 82ND PKWY STE 2

MYRTLE BEACH, SC 29579-5198



CONWAY, SC 29526-8747




Operating Rooms:

Operating Rooms:

Operating Rooms:

Operating Rooms:

Operating Rooms:

3

3

2

3

0

Procedure Rooms:

Procedure Rooms:

Procedure Rooms:

Procedure Rooms:

Procedure Rooms:

1

1

1

3

0

Endoscopy Rooms:

Endoscopy Rooms:

Endoscopy Rooms:

Endoscopy Rooms:

Endoscopy Rooms:

0

1

0

0

2


CAROLINA BONE AND JOINT SURGERY CENTER LLC

CAROLINA REGIONAL SURGERY CENTER LTD

PARKWAY SURGERY CENTER LLC

COASTAL CAROLINA CENTERS OF UROLOGY AND SURGERY LLC

STRAND GASTROINTESTINAL ENDOSCOPY INC

Totals For Facility/License Type: Ambulatory Surgery

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units



March 6, 2018

3 hlfactcc.rdf

HorryCounty:

Body PiercingFacility Type:

DR PIERCING

ELITE BODY PIERCING

KINGS AT THE BEACH

PIERCING PASSION

PITBULL PIERCING

PROFESSIONAL BODY PIERCING BY JACKIE II

WILDSIDE PIERCING

AISH NETALIE PH#: 843-445-9955

GRINBERG GUY PH#: 843-450-1114

OHAYON SIMON PH#: 843-249-9549

PERRY STANLEY G PH#: 843-283-1367

MILLER ALISON PH#: 843-839-0436

CHATTAJ JACKIE PH#: 843-626-8400

PH#:

1

1

1

1

1

1

1

702 SEABOARD ST UNIT A

673 ROBERT M GRISSOM PKWY

201 MAIN ST

704 SEABOARD ST UNIT C

700 SEABOARD ST UNIT E

702 SEABOARD ST UNIT D

1630 STOCKHOLDER AVE


Horry / Sole Proprietorship

Horry / Corporation

Horry / Corporation

Horry / Corporation

Horry / Partnership


BP-0180 / 05/31/2018

BP-0202 / 07/31/2018

BP-0143 / 05/31/2018

BP-0164 / 03/31/2018

BP-0222 / 05/31/2018

BP-0162 / 03/31/2018

BP-0276 / 08/31/2018



NORTH MYRTLE BEACH, SC 29582-3020 FAC.#:843-249-9549




MYRTLE BEACH, SC 29577 FAC.#:843-231-8244


673 ROBERT M GRISSOM PKWY

201 MAIN ST

PO BOX 8581


501 44TH AVE N APT A7



NORTH MYRTLE BEACH, SC 29582-3020







A & A CREATIONS LLC

GRINBERG GUY

KINGS AT THE BEACH INC

PIERCING PASSION INC

INTERNATIONAL GROUP INVESTMENTS INC

GAVRIEL SHITRIT AND JACKIE CHATTAJ

PARIS STEVEN M

Totals For Facility/License Type: Body Piercing

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

Not on File

[email protected]

[email protected]

Licensed

Units



March 6, 2018

4 hlfactcc.rdf

HorryCounty:

Community Residential Care FacilityFacility Type:

ANDERSON OAKS ASSISTED LIVING

BRIGHTWATER ASSISTED LIVING

BROOKDALE CONWAY

CAROLINA GARDENS AT CONWAY

CAROLINA GARDENS AT GARDEN CITY

WISE WYATT E PH#: 843-347-9280

FRYAR LESLIE PH#: 843-903-8940

BUNTING ROBIN E PH#: 843-347-3050

TAYLOR JASON PH#: 843-397-2273

GOLDSTON III DAVID B PH#: 843-357-0200

80

56

52

100

111

997 HWY 90

201 BRIGHTWATER DR

872 SINGLETON RIDGE RD

2310-2314 HWY 378

11951 GRANDHAVEN DR

Horry / Corporation

Horry / Limited Liability

Horry / Corporation



CRC-1506 / 07/31/2018

CRC-1489 / 04/30/2018

CRC-1204 / 12/31/2018

CRC-1912 / 08/31/2018

CRC-1934 / 12/31/2018

CONWAY, SC 29526-7520 FAC.#:843-347-9280


CONWAY, SC 29526-9166 FAC.#:843-347-3050

CONWAY, SC 29527 FAC.#:843-397-2273

MURRELS INLET, SC 29576-7843 FAC.#:843-357-0200

997 HWY 90

201 BRIGHTWATER DR

6737 W WASHINGTON ST STE 2300

1626 JEURGENS CT

11951 GRANDHAVE DR

CONWAY, SC 29526-2750


MILWAUKEE, WI 53214-5650

NORCROSS, GA 30093-2219

MURRELS INLET, SC 29576-7843



HERMAN L ANDERSON INC

BRIGHTWATER RETIREMENT LLC

EMERITUS CORPORATION

FC MIDLANDS CONWAY LLC

FC MIDLANDS GARDEN CITY 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

No

Yes

No

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Yes

Yes

No

Yes

No

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Resident:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

Max # Beds:

10

24

0

24

0

0

24

0

28

0



March 6, 2018

5 hlfactcc.rdf

HorryCounty:


HOPE ARBOR OF LORIS

HOPE ARBOR OF MURRELLS INLET

LADIES COMMUNITY RESIDENCE

LOIS EARGLE HOME

MAGNOLIAS OF MYRTLE BEACH

EVANS ADAM PH#: 843-716-4673

RIGGAN MISTY PH#: 843-357-0317

CORNELL TERRY PH#: 843-349-7271

CORNELL TERRY A PH#: 843-349-7271

GRAHAM DENISE PH#: 843-692-2330

60

60

8

8

48

260 WATSON HERITAGE RD

12287 HWY 707

408 WEBB ST

406 WEBB ST

601 65TH AVE N

Horry /

Horry /

Horry / County

Horry / County


CRC-1547 / 06/30/2018

CRC-1560 / 12/31/2018

CRC-1449 / 07/31/2018

CRC-1450 / 07/31/2018

CRC-1415 / 05/31/2018

LORIS, SC 29569 FAC.#:843-716-4673

MURRELLS INLET, SC 29576-9739 FAC.#:843-357-0317

CONWAY, SC 29527-5842 FAC.#:843-349-7271

CONWAY, SC 29527-5842 FAC.#:843-349-7271


260 WATSON HERITAGE RD

609 17TH AVE N

408 WEBB ST

250 VICTORY LN

6309 HAWTHORNE LN

LORIS, SC 29569


CONWAY, SC 29527-5842

CONWAY, SC 29526-8650




PARNERS IN HOPE INC

PARTNERS IN HOPE INC

HORRY COUNTY DISABILITIES AND SPECIAL NEEDS BOARD

HORRY COUNTY DISABILITIES AND SPECIAL NEEDS BOARD

CAROLINA RETIREMENT SERVICES OF MYRTLE BEACH 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

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:

20

0

0

0

0

0

0

0

0

0



March 6, 2018

6 hlfactcc.rdf

HorryCounty:


MYRTLE BEACH ESTATES

MYRTLE BEACH MANOR RETIREMENT COMMUNITY

PALMETTOS OF GARDEN CITY

REFLECTIONS AT CAROLINA FOREST

SUMMIT PLACE OF NORTH MYRTLE BEACH

CRAWFORD BRYAN PH#: 843-293-8888

BEARD MICHAEL W PH#: 843-449-5283

CRONIN TONI PH#: 843-668-2500

CLARDY JR WALLACE D PH#: 843-903-0700

JACKSON THOMAS L PH#: 843-399-5662

142

111

90

42

80

3620 HAPPY WOODS CT

9547 HWY 17 N

9415 HWY 17 BYPASS

219 MIDDLEBURG DR

491 HWY 17

Horry / Corporation

Horry / Corporation

Horry / Limited Liability Company (multiple member)

Horry / Corporation

Horry / Corporation

CRC-1403 / 11/30/2018

CRC-1253 / 01/31/2019

CRC-1649 / 06/30/2018

CRC-1456 / 11/30/2018

CRC-1360 / 06/30/2018



MURRELLS INLET, SC 29576 FAC.#:843-668-2500


LITTLE RIVER, SC 29566-8082 FAC.#:843-399-5662

3620 HAPPY WOODS CT

9547 HWY 17 N

PO BOX 1398

219 MIDDLEBURG DR

400 CENTRE ST



MURFREESBORO, TN 37133-1398


NEWTON, MA 02458-2094



CSL LEASECO INC

FS TENANT POOL I TRUST

PALMETTOS OF GARDEN CITY LLC

REFLECTIONS AT CAROLINA FOREST INC

SNH SE N MYRTLE BEACH TENANT 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

Yes

No

Yes

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Yes

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

20

0

2

23

42

30

20

0

24



March 6, 2018

7 hlfactcc.rdf

HorryCounty:


THRIVE IN PRINCE CREEK

RICHARDSON JACQUE W PH#: 843-353-1525

110

699 PRINCE CREEK PKWY


CRC-1939 / 11/30/2018


699 PRINCE CREEK PKWY

MURRELLS INLET, SC 29576



Number of Activities/Facilities licensed: 16 Number Licensed Units: 1,158

THRIVE TENANT LTC LLC

Totals For Facility/License Type: Community Residential Care Facility

Facility Email: JACQUE.RICHARDSON@THRIVEATPRINCECREEK

Licensed

Units

Certifications:

Alzheimer Care:

None

YesAlzheimer Unit:Yes Max # Resident: Max # Beds:25 25



March 6, 2018

8 hlfactcc.rdf

HorryCounty:

Home HealthFacility Type:

AMEDISYS HOME HEALTH OF CONWAY

AMEDISYS HOME HEALTH OF MYRTLE BEACH

KINDRED AT HOME-COASTAL

LIBERTY HOME CARE-MYRTLE BEACH

JONES BRITTANY PH#: 843-347-5899

NEASBITT LEISA VICTORIA PH#: 843-916-0931

MILLER AMANDA J PH#:

SCHOONMAKER CHRISTY PH#:

3

1

3

2

176 WACCAMAW MEDICAL PARK CT

1309 PROFESSIONAL DR STE 100

1240 21ST AVE N STE 200

1293 PROFESSIONAL DR STE C





HHA-0195 / 03/31/2019

HHA-0187 / 01/31/2019

HHA-0179 / 11/30/2018

HHA-0163 / 12/31/2018

CONWAY, SC 29526-8965 FAC.#:843-347-5899




176 WACCAMAW MEDICAL PARK CT

1309 PROFESSIONAL DR STE 100

12900 FOSTER ST STE 400

1293 PROFESSIONAL DR STE C

CONWAY, SC 29526-8965


OVERLAND PARK, KS 66213-2696




AMEDISYS HOME HEALTH OF SOUTH CAROLINA LLC

GEORGETOWN HOSPITAL HOME HEALTH LLC

TOTAL CARE HOME HEALTH OF SOUTH CAROLINA LLC

LIBERTY HOME CARE LLC

Counties Served:

Counties Served:

Counties Served:

Counties Served:

Dillon, Horry, Marion

Horry

Georgetown, Horry, Williamsburg

Georgetown, Horry

License Restrictions:




Physical Therapy:

Physical Therapy:

Physical Therapy:

Physical Therapy:

Y

Y

Y

Y

Speech Therapy:

Speech Therapy:

Speech Therapy:

Speech Therapy:

Y

Y

Y

Y

Occupational Therapy:




Y

Y

Y

Y

Med. Social Services:




Y

Y

Y

Y

Home Health Aid:

Home Health Aid:

Home Health Aid:

Home Health Aid:

Y

Y

Y

Y

Medical Supplies/Appliances/Durable Medical Equipment:




N

N

N

N

Other:

Other:

Other:

Other:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units



March 6, 2018

9 hlfactcc.rdf

HorryCounty:

Home HealthFacility Type:

MEDICAL SERIVICES OF AMERICA - COASTAL

MUSC HEALTH AT HOME BY BAYADA - CONWAY

NHC HOMECARE-MURRELLS INLET

MOORE TONYA PH#:

BLASZCYZK BRYAN PH#: 843-492-6602

COOPER GEORGE PH#: 843-945-9850

11

2

4

4685 HWY 17 BYP S

1300 S CAROLINA HWY 544 STE F-107

780 HWY 17 S STE D

Horry / Corporation



HHA-0039 / 02/28/2019

HHA-0329 / 01/31/2019

HHA-0215 / 09/30/2018


CONWAY, SC 29526 FAC.#:843-492-6602

SURFSIDE BEACH, SC 29575 FAC.#:843-945-9850

4685 HWY 17 BYP S

9405 HWY 17 BYP


MURRELLS INLET, SC 29576-9301




INCARE HOME HEALTH INC

SCHHA LLC

NHC HOMECARE-SOUTH CAROLINA LLC

Counties Served:

Counties Served:

Counties Served:

Berkeley, Charleston, Chesterfield, Darlington, Dillon, Florence, Georgetown,

Horry, Marion, Marlboro, Williamsburg

Georgetown, Horry

Dillon, Georgetown, Horry, Marion

Totals For Facility/License Type: Home Health




Physical Therapy:

Physical Therapy:

Physical Therapy:

Y

Y

Y

Speech Therapy:

Speech Therapy:

Speech Therapy:

Y

Y

Y




Y

Y

Y




Y

Y

Y

Home Health Aid:

Home Health Aid:

Home Health Aid:

Y

Y

Y




Y

N

N

Other:

Other:

Other:

DIETARY

SKILLED NURSING SERVICES

DIETARY CONSULTATION

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

Licensed

Units



March 6, 2018

10 hlfactcc.rdf

HorryCounty:

Hospice FacilityFacility Type:

EMBRACE HOSPICE HOUSE OF THE GRAND STRAND

MILLS APRIL PH#: 843-679-4999

36

175 VILLAGE CENTER BLVD


HPF-0028 / 08/31/2018


1831 W EVANS ST STE 315

FLORENCE, SC 29501-3300




EMBRACE HOSPICE OF SOUTH CAROLINA LLC

Totals For Facility/License Type: Hospice Facility

Facility Email: [email protected]

Licensed

Units



March 6, 2018

11 hlfactcc.rdf

HorryCounty:

Hospice ProgramFacility Type:

HEARTLAND HOSPICE SERVICES

MEDICAL SERVICES OF AMERICA HOSPICE-COASTAL

MERCY CARE

KAWAKAMI MELISSA S PH#:

LIPPERT ROBERT T PH#: 843-293-4614

WHITLEY GWEN PH#: 910-796-7900

5

46

3

2411 N OAK ST STE 108

4685 HWY 17 BYP S

8216 DEVON CT


Horry / Corporation

Horry / Non-Profit Corporation

HPC-0135 / 12/31/2018

HPC-0076 / 05/31/2018

HPC-0053 / 12/31/2018




2411 N OAK ST STE 108

PO BOX 609

1414 PHYSICIANS DR

MYRTLE BEACH, SC 29577

LEXINGTON, SC 29071-0609

WILMINGTON, NC 28401-7335




HEARTLAND HOSPICE SERVICES LLC

INCARE HOME HEALTH INC

LOWER CAPE FEAR HOSPICE MERCY CARE

Counties Served:

Counties Served:

Counties Served:

Florence, Georgetown, Horry, Marion, 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

Georgetown, Horry, Marion

Totals For Facility/License Type: Hospice Program

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

Licensed

Units



March 6, 2018

12 hlfactcc.rdf

HorryCounty:

Hospital or Institutional General InfirmaryFacility Type:

CONWAY HOSPITAL

GRAND STRAND MEDICAL CENTER

LIGHTHOUSE BEHAVIORAL HEALTH HOSPITAL

MCLEOD LORIS

MCLEOD SEACOAST

PH#:

SIMS MARK PH#: 813-692-1000

RYBA TOM PH#: 843-347-8871

VEHIGE MONICA PH#: 843-716-7000

VEHIGE MONICA PH#: 843-390-8100

210

345

96

105

50

300 SINGLETON RIDGE RD

809 82ND PKWY

152 WACCAMAW MEDICAL PARK DR

3655 MITCHELL ST

4000 HWY 9 E



Horry / Corporation



HTL-0083 / 05/31/2018

HTL-0770 / 04/30/2018

HTL-0898 / 01/31/2019

HTL-0033 / 01/31/2018 (Renewal Pending)

HTL-0910 / 01/31/2018 (Renewal Pending)

CONWAY, SC 29526-9142 FAC.#:843-347-7111


CONWAY, SC 29526-8901 FAC.#:843-347-8871

LORIS, SC 29569-2844 FAC.#:843-716-7000

LITTLE RIVER, SC 29566-7833 FAC.#:843-390-8100

PO BOX 829

809 82ND PKWY


PO BOX 690001

PO BOX 690001

CONWAY, SC 29528-0829


CONWAY, SC 29526-8901

LORIS, SC 29569-9601

LORIS, SC 29569-9601



Licensed Beds:

Licensed Beds:

Licensed Beds:

Licensed Beds:

Licensed Beds:

General:

General:

General:

General:

General:

210

325

0

105

50

Psychiatric:

Psychiatric:

Psychiatric:

Psychiatric:

Psychiatric:

0

20

69

0

0

Rehab:

Rehab:

Rehab:

Rehab:

Rehab:

0

0

0

0

0

Substance Abuse:

Substance Abuse:

Substance Abuse:

Substance Abuse:

Substance Abuse:

0

0

27

0

0

Other Beds :

Other Beds :

Other Beds :

Other Beds :

Other Beds :

NICU:

NICU:

NICU:

NICU:

NICU:

0

0

0

0

0

Neonatal Special Care:





6

2

0

0

0

CONWAY HOSPITAL INC

GRAND STRAND REGIONAL MEDICAL CENTER LLC

HHC SOUTH CAROLINA INC

MCLEOD LORIS SEACOAST HOSPITAL

MCLEOD LORIS SEACOAST HOSPITAL

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:

Trauma Center Level III, Perinatal Level II

Trauma Center Level I, Perinatal Level II, JCAHO Accredited

JCAHO Accredited

Perinatal Level I, JCAHO Accredited

JCAHO Accredited



March 6, 2018

13 hlfactcc.rdf

HorryCounty:

Hospital or Institutional General InfirmaryFacility Type:




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

Licensed

Units



March 6, 2018

14 hlfactcc.rdf

HorryCounty:

Inhome Care ProviderFacility Type:

ALWAYS BEST CARE OF THE GRAND STRAND

ATLANTIC HEALTHCARE GROUP INC

BEACHSIDE HOME SERVICE

BRIGHTWATER WELL CARE

CAREGIVERS OF SOUTH CAROLINA LLC

CARING HANDS HOME CARE LLC USA

COMFORCARE SENIOR SERVICES - MYRTLE BEACH

COMFORT KEEPERS - MYRTLE BEACH

PH#:

PH#:

MARKS MARTA PH#: 843-508-8115

FRYAR LESLIE PH#: 843-903-8300

PH#:

BRUNSON ANGELA PH#: 843-945-1058

PH#:

PH#:

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

811 8TH AVE S STE B

911 CREEL ST

4939 HWY 17 S BYPASS STE 10

101 BRIGHTWATER DR

1926 ROLLING HILLS DR

649 MARTIN ST

1110 LONDON ST STE 106

3009 CHURCH ST UNIT A

Horry / Corporation

Horry / Corporation






Horry / Corporation

IHCP-0789 / 10/31/2018

IHCP-0153 / 05/31/2018

IHCP-0727 / 03/31/2018

IHCP-0079 / 03/31/2018

IHCP-0476 / 11/30/2018

IHCP-0606 / 11/30/2018

IHCP-0040 / 12/31/2018

IHCP-0762 / 07/31/2018


CONWAY, SC 29527-5001 FAC.#:843-488-4001



CONWAY, SC 29526-9113 FAC.#:843-347-6440




3800 FOREST DR STE C-201

PO BOX 1627

PO BOX 534

101 BRIGHTWATER DR

1926 ROLLING HILLS DR

1110 LONDON ST STE 106

1555 KATHWOOD DR

COLUMBIA, SC 29204

CONWAY, SC 29528

DUNN, NC 28335


CONWAY, SC 29526-9113


COLUMBIA, SC 29206



NLR SERVICES INC

ATLANTIC HEALTHCARE GROUP INC

BEACHSIDE HOME SERVICE LLC

LIVE LONG WELL CARE LLC

CAREGIVERS OF SOUTH CAROLINA LLC

CARING HANDS HOME CARE LLC USA

J&S SENIOR SERVICES LLC

IN-HOME COMPASSIONATE 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



March 6, 2018

15 hlfactcc.rdf

HorryCounty:


COMPASSIONATE CARE SENIOR SERVICES

EAST COAST NURSING SERVICES

FIRSTLIGHT HOME CARE OF THE GRAND STRAND

FORGET ME NOT HOMECARE SERVICES LLC

GRAND STRAND COMFORT CARE

GRAND STRAND HOME CARE

GRISWOLD HOME CARE CHARLESTON REGION-PEE DEE-GRAND

STRAND

HEAVENLY HELPERS NURSING SERVICES

AITKENS YVETTE PH#: 843-438-8490

PH#:

RECUPERO JAMIE L PH#: 843-651-2273

PH#:

SHAH NITIN PH#: 843-626-2613

SHETH NISHITA PH#: 803-464-9983

PH#:

PH#:

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

315 MAIN ST STE 4

1318 4TH AVE

2520 HWY 17 BUSINESS UNIT 2

1717 HUSTED DR UNIT D

2411 N OAK ST STE 105-B

4999 CAROLINA FOREST BLVD UNIT 21 C

195A PRATHER PARK DR

4502 HWY 17 BYP S


Horry /

Horry / Corporation


Horry / Corporation


Horry / Corporation


IHCP-0517 / 03/31/2018

IHCP-0218 / 07/31/2018

IHCP-0078 / 03/31/2018

IHCP-0155 / 05/31/2018

IHCP-0599 / 08/31/2018

IHCP-0781 / 10/31/2018

IHCP-0263 / 08/31/2018

IHCP-0486 / 12/31/2018

CONWAY, SC 29526-5147 FAC.#:843-438-8490

CONWAY, SC 29526-5049 FAC.#:843-488-2493

GARDEN CITY, SC 29576 FAC.#:843-651-2273

CONWAY, SC 29526 FAC.#:843-234-0354





315 MAIN ST STE 4

1318 4TH AVE

PO BOX 15433

1717 HUSTED DR UNIT D

2411 N OAK ST STE 105-B

195A PRATHER PARK DR

CONWAY, SC 29526-5147

CONWAY, SC 29526-5049

SURFSIDE BEACH, SC 29575

CONWAY, SC 29526





COMPASSIONATE CARE SENIOR SERVICES

EAST COAST NURSING SERVICES LLC

FIRSTLIGHT HOME CARE OF THE GRAND STRAND INC

FORGET ME NOT HOMECARE SERVICES LLC

SHIV ENTERPRISE GROUP LLC

NISHI LLC

CITADEL SERVICES INC

HEAVENLY HELPERS NURSING SERVICES

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



March 6, 2018

16 hlfactcc.rdf

HorryCounty:


HOME CARE DIRECT LLC

HOME CARE HELPERS USA LLC

HOME CARE OF MYRTLE BEACH LLC

HOME INSTEAD SENIOR CARE OF MURRELLS INLET

HOPE AND FREEDOM HOME CARE

INTERIM HEALTHCARE-MYRTLE BEACH

PALMETTO PERSONAL CARE SERVICES INC

RESCARE HOMECARE MYRTLE BEACH

PH#:

PH#:

PH#:

BERG VICKI PH#: 843-357-9777

PH#:

PH#:

PH#:

KEITH SHAWN PH#: 843-692-2557

- 1

- 1

- 1

- 1

- 1

- 1

- 1

- 1

242 8TH AVE

618 CHESTNUT RD STE 103

1019 HWY 17 N STE 122

11746 HWY 17 BYPASS STE B

800 LEGION ST STE 101-C

1297 PROFESSIONAL DR STE 201-C3

4105 MAIN ST

1111 48TH AVE N STE 116







Horry / Corporation

Horry / Corporation

IHCP-0128 / 04/30/2018

IHCP-0046 / 01/31/2019

IHCP-0237 / 07/31/2018

IHCP-0054 / 02/28/2018 (Renewal Pending)

IHCP-0675 / 02/28/2019

IHCP-0249 / 07/31/2018

IHCP-0088 / 03/31/2018

IHCP-0015 / 06/30/2018

AYNOR, SC 29511-3222 FAC.#:843-358-2005


NORTH MYRTLE BEACH, SC 29582-2805 FAC.#:843-249-5541


CONWAY, SC 29526 FAC.#:843-484-0838


LORIS, SC 29569-3023 FAC.#:843-716-1700


PO BOX 645

618 CHESTNUT RD STE 103

1019 HWY 17 S STE 122

11746 HWY 17 BYPASS STE B

1297 PROFESSIONAL DR STE 201-C3

4105 MAIN ST

1111 48TH AVE N STE 116

AYNOR, SC 29511-0645


NORTH MYRTLE BEACH, SC 29582-3702

MURRELLS INLET, SC 29576


LORIS, SC 29569-3023




HOME CARE DIRECT LLC

HOME CARE HELPERS USA LLC

HOME CARE OF MYRTLE BEACH LLC

HOME INSTEAD OF CHARLESTON LLC

HOPE AND FREEDOM HOME CARE LLC

SC NURSING SERVICES LLC

PALMETTO PERSONAL CARE SERVICES INC

SOUTHERN HOME CARE SERVICES INC DBA RESCARE HOMECARE

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



March 6, 2018

17 hlfactcc.rdf

HorryCounty:


RIGHT AT HOME MYRTLE BEACH

TRUSTED HOME CARE

VISITING ANGELS OF MYRTLE BEACH

WE CARE HOME CARE

PH#:

SHAH NITIN PH#: 732-522-3724

PH#:

PH#:

- 1

- 1

- 1

- 1

1500 HWY 17 N STE 106

586 INDIGO BAY CIR

2105 CROMLEY CIR STE D

1200 MAIN ST STE E





IHCP-0294 / 08/31/2018

IHCP-0807 / 01/31/2019

IHCP-0491 / 12/31/2018

IHCP-0122 / 04/30/2018




CONWAY, SC 29526 FAC.#:843-488-2972

1500 HWY 17 N STE 106

586 INDIGO BAY CIR

2105 CROMLEY CIR STE D

1200 MAIN ST STE E

SURFSIDE BEACH, SC 29575



CONWAY, SC 29526



Number of Activities/Facilities licensed: 28 Number Licensed Units: - 28

IN HOME CARE & ASSISTANCE LLC

SAI ENTERPRISE GROUP LLC

HOME CARE SERVICES OF MYRTLE BEACH LLC

OM GROUP OF COMPANIES LLC

Totals For Facility/License Type: Inhome Care Provider

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units



March 6, 2018

18 hlfactcc.rdf

HorryCounty:

Nursing HomeFacility Type:

BRIGHTWATER SKILLED NURSING CENTER

COMPASS POST ACUTE REHABILITATION

CONWAY MANOR

COVENANT TOWERS HEALTH CARE

GRANGER PAUL PH#: 843-903-8300

TILLER RAYMOND PH#: 843-397-2273

SEFJACK CHRIS PH#: 843-248-5728

HENDRICK DEBBIE M PH#: 843-449-2484

67

95

190

30

171 BRIGHTWATER DR

2320 HWY 378

3300 4TH AVE

5001 LITTLE RIVER RD


Horry / Corporation



NCF-0955 / 04/30/2018

NCF-0977 / 12/31/2018

NCF-0899 / 05/31/2018

NCF-0469 / 08/31/2018


CONWAY, SC 29527-4911 FAC.#:843-397-2273

CONWAY, SC 29527-6002 FAC.#:843-248-5728


171 BRIGHTWATER DR

27101 PUERTA REAL STE 450

3300 4TH AVE

5001 LITTLE RIVER RD, COVENANT TOWERS W-505


MISSION VIEJO, CA 92691-8566

CONWAY, SC 29527-6002




Licensed Beds:

Licensed Beds:

Licensed Beds:

Licensed Beds:

Nursing Home:

Nursing Home:

Nursing Home:

Nursing Home:

67

95

190

30

Institutional Nursing Home:




0

0

0

0

BRIGHTWATER RETIREMENT LLC

CAROLINA HEALTHCARE INC

CONWAY MANOR LLC

COVENANT TOWERS HOMEOWNERS ASSOCIATION INC

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



March 6, 2018

19 hlfactcc.rdf

HorryCounty:


GRAND STRAND REHAB AND NURSING CENTER

KINGSTON NURSING CENTER

LORIS REHAB AND NURSING CENTER

MYRTLE BEACH MANOR

FLANSBURG CHRISTINE PH#: 843-293-1137

FOWLER LAURA L PH#: 843-347-8179

OATES MARGARET PH#: 843-716-7106

BEARD MICHAEL PH#: 843-449-5283

88

88

88

60

4452 SOCASTEE BLVD

2379 CYPRESS CIR

3620 STEVENS ST

9547 HWY 17 N




Horry / Corporation

NCF-0993 / 09/30/2018

NCF-0518 / 06/30/2018

NCF-0207 / 08/31/2018

NCF-0829 / 01/31/2019


CONWAY, SC 29526-8921 FAC.#:843-347-8179

LORIS, SC 29569-2953 FAC.#:843-716-7106


PO BOX 510

PO BOX 1496

PO BOX 510

400 CENTRE ST

DARLINGTON, SC 29540-0510

CONWAY, SC 29528-1496

DARLINGTON, SC 29540-0510

NEWTON, MA 02458-2094



Licensed Beds:

Licensed Beds:

Licensed Beds:

Licensed Beds:

Nursing Home:

Nursing Home:

Nursing Home:

Nursing Home:

88

88

88

60





0

0

0

0

GRAND STRAND REHAB AND NURSING CENTER LLC

CONWAY HOSPITAL INC

LORIS REHAB AND NURSING CENTER LLC

FS TENANT POOL I TRUST

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



March 6, 2018

20 hlfactcc.rdf

HorryCounty:


NHC HEALTHCARE GARDEN CITY

SELLARS GIDEON PH#: 843-650-2213

148

9405 HWY 17 BYP


NCF-0825 / 10/31/2018

MURRELLS INLET, SC 29576-9301 FAC.#:843-650-2213

PO BOX 309

MURRELLS INLET, SC 29576-0309



Licensed Beds: Nursing Home: 148 Institutional Nursing Home: 0


NHC HEALTHCARE/GARDEN CITY LLC

Totals For Facility/License Type: Nursing Home


Licensed

Units

Certifications:

Alzheimer Care:

None

NoAlzheimer Unit:No Max # Resident: Max # Beds:0 0



March 6, 2018

21 hlfactcc.rdf

HorryCounty:

PSAD InpatientFacility Type:

SHORELINE BEHAVIORAL HEALTH SERVICES (PSAD-INPATIENT)

COFFIN JOHN F PH#: 843-365-8884

10

901 BELL ST

Horry / Corporation

ITP-0021 / 05/31/2018

CONWAY, SC 29526-4113 FAC.#:843-488-1300

PO BOX 136

CONWAY, SC 29528-0136




Licensed Beds:Medical Detox: 0 Social Detox: 0 Res. Trestment Program: 10

SHORELINE BEHAVIORAL HEALTH SERVICES

Totals For Facility/License Type: PSAD Inpatient

Facility Email: CRYSTAL@SHORLELINEBHSORG

Licensed

Units



March 6, 2018

22 hlfactcc.rdf

HorryCounty:

PSAD OutpatientFacility Type:

CENTER OF HOPE OF MYRTLE BEACH

COASTAL RECOVERY CENTER

HORRY COUNTY DRUG COURT

SHORELINE BEHAVIORAL HEALTH SERVICES (OTP)

BEGLIN KRISTAN S PH#: 843-903-6212

MOBLEY WILLIAM PH#: 843-449-6261

DEBUSK CANDY S PH#: 843-915-8358

COFFIN JOHN F PH#: 843-365-8884

1

1

2

2

104 GEORGE BISHOP PKWY

1113 44TH AVE N STE 100

114 LAUREL ST

2404 WISE RD



Horry / County

Horry / Corporation

OTPN-0068 / 12/31/2018

OTP-0092 / 07/31/2018

OTP-0105 / 08/31/2018

OTP-0016 / 08/31/2018



CONWAY, SC 29526-5134 FAC.#:843-915-8358

CONWAY, SC 29526-5521 FAC.#:843-365-8884

100 ABINGDON PL

1304 AZALEA CT STE A

114 LAUREL ST

PO BOX 136

ABINGDON, VA 24211-6122


CONWAY, SC 29526-5134

CONWAY, SC 29528-0136




CENTER OF HOPE OF MYRTLE BEACH LLC

836 INC

15TH JUDICIAL CIRCUIT SOLICITORS OFFICE

SHORELINE BEHAVIORAL HEALTH SERVICES

Totals For Facility/License Type: PSAD Outpatient

Facility Email:

Facility Email:

Facility Email:

Facility Email:

KRISTAN.BEGLIN@CAROLINATREATMENTCENTERS.

[email protected]

[email protected]

[email protected]

Licensed

Units

Certifications:

Certifications:

Certifications:

Certifications:

Narcotics Treatment Program, Methodone Treatment Program

None

None

None



March 6, 2018

23 hlfactcc.rdf

HorryCounty:

Renal DialysisFacility Type:

CONWAY DIALYSIS CENTER

FMC DIALYSIS SERVICES-NORTH MYRTLE BEACH

FRESENIUS MEDICAL CARE MYRTLE BEACH

FRESENIUS MEDICAL CARE WEST CONWAY

LONGS DIALYSIS

LORIS DIALYSIS CENTER

WARD ESTER PH#: 843-347-5111

MENZEL STEPHANIE PH#: 843-361-1709

TAYLOR LORI PH#: 843-839-4273

CRAMER ROSARIA PH#: 843-488-0328

HEMINGWAY CENDA PH#: 843-399-5275

FIPPS JAMIE NORRIS PH#:

20

15

22

16

10

20

838 FARRAR DR

710 A HWY 17 S

4592 OLEANDER DR

1702 MILL POND RD

90 CLOVERLEAF DR UNIT 306

3827 BELL ST

Horry / Corporation

Horry / Corporation

Horry / Corporation

Horry / Corporation

Horry / Corporation

Horry / Corporation

ERD-0150 / 10/31/2018

ERD-0093 / 02/28/2019

ERD-0186 / 04/30/2018

ERD-0182 / 08/31/2018

ERD-0185 / 01/31/2019

ERD-0108 / 07/31/2018

CONWAY, SC 29526-8747 FAC.#:843-347-5111

NORTH MYTLE BEACH, SC 29582 FAC.#:843-361-1709


CONWAY, SC 29527-4745 FAC.#:843-488-0328

LONGS, SC 29568-9262 FAC.#:843-399-5275

LORIS, SC 29569-2352 FAC.#:843-756-0300

838 FARRAR DR

710 A HWY 17 S

4592 OLEANDER DR

1702 MILL POND RD

5200 VIRGINIA WAY, LICENSING AND CERTIFICATION

3827 BELL ST

CONWAY, SC 29526-8747

NORTH MYTLE BEACH, SC 29582


CONWAY, SC 29527-4745

BRENTWOOD, TN 37027-7569

LORIS, SC 29569-2352



Licensed Stations:

Licensed Stations:

Licensed Stations:

Licensed Stations:

Licensed Stations:

Licensed Stations:

Hemodialysis:

Hemodialysis:

Hemodialysis:

Hemodialysis:

Hemodialysis:

Hemodialysis:

20

15

21

16

10

20

Peritoneal:

Peritoneal:

Peritoneal:

Peritoneal:

Peritoneal:

Peritoneal:

0

0

1

0

0

0

BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA INC




TOTAL RENAL CARE 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



March 6, 2018

24 hlfactcc.rdf

HorryCounty:

Renal DialysisFacility Type:

MARKET COMMONS DIALYSIS

MYRTLE BEACH DIALYSIS

GODWIN RN BEVERLY PH#:

POSTON TREVER PH#: 843-448-4920

20

16

1350 FARROW PKWY STE 100

3919 MAYFAIR ST

Horry / Corporation

Horry / Corporation

ERD-0211 / 04/30/2018

ERD-0163 / 06/30/2018



5200 VIRGINIA WAY

5200 VIRGINIA WAY STE 400






Licensed Stations:

Licensed Stations:

Hemodialysis:

Hemodialysis:

17

16

Peritoneal:

Peritoneal:

3

0



Totals For Facility/License Type: Renal Dialysis

Facility Email:

Facility Email:

[email protected]

[email protected]

Licensed

Units



March 6, 2018

25 hlfactcc.rdf

HorryCounty:

Residential Treatment for Children & AdolescentsFacility Type:

LIGHTHOUSE BEHAVIORAL HEALTH

SELF JASON PH#: 847-347-8871

18


Horry / Corporation

RTF-0019 / 01/31/2018 (Renewal Pending)

CONWAY, SC 29526-8901 FAC.#:843-347-8871


CONWAY, SC 29526-8901




HHC SOUTH CAROLINA INC

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


Licensed

Units



March 6, 2018

26 hlfactcc.rdf

HorryCounty:

Tattoo FacilityFacility Type:

ACES HIGH TATTOO

BULL DAWG TATTOOS INK

DR INK TATTOO

ELITE INK TATTOOS OF MYRTLE BEACH

HERO TATTOO

HERO TATTOO MB

HOLE IN THE WALL TATTOO

INK WAVE

LEONARD RALPH R PH#: 843-241-5091

JACO JERRY PH#:

AISH NATALIE PH#: 843-445-9988

LANZ ROBERT L PH#: 843-448-4708

CRIBB JEFFREY S PH#: 843-347-0009

CRIBB JEFFREY S PH#: 843-685-6436

PIERCE TERRI L PH#: 843-234-0515

PERRY STANLEY G PH#: 843-283-1367

7

5

4

8

5

4

3

4

704 SEABOARD ST UNIT H

700 SEABOARD ST UNIT A & B

702 SEABOARD ST UNIT B


1833 LONE STAR ST UNIT AA

550 PIEDMONT AVE

1709 HUSTED RD STE 3

704 SEABOARD ST UNIT D


Horry / Corporation


Horry / Corporation


Horry / Limited Liability Company (single member)


Horry / Corporation

TF-0006 / 11/30/2018

TF-0092 / 05/31/2018

TF-0007 / 05/31/2018

TF-0069 / 05/31/2018

TF-0029 / 11/30/2018

TF-0179 / 01/31/2019

TF-0036 / 04/30/2018

TF-0005 / 03/31/2018





CONWAY, SC 29526-8298 FAC.#:843-347-0009


CONWAY, SC 29526-8481 FAC.#:843-234-0515



700 SEABOARD ST UNIT A & B



1833 LONE STAR ST UNIT AA

550 PIEDMONT AVE

1043 UNIVERSITY FOREST DR

PO BOX 8581





CONWAY, SC 29526-8298


CONWAY, SC 29526-8376




LEONARD RALPH R

PITBULL ENTERPRISES INC

A & A CREATIONS LLC

UMBRELLA COMPANY LLC

HERO GRAPHICS LLC

THE HERO FIRM LLC

HOLE IN THE WALL TATTOO LLC

INK WAVE TATTOOS INC

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

Not on File

Not on File

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Licensed

Units



March 6, 2018

27 hlfactcc.rdf

HorryCounty:


KARMA TATTOOS

MYRTLE BEACH INK

PITBULL TATTOO CLINIC

PORKCHOPS TATTOO STUDIO OF MYRTLE BEACH

PREMIER TATTOO

RED RAVEN ART COMPANY

TIKI TATTOO

WILDSIDE TATTOO

ABRAHAM CHRISTOPHER PH#: 843-839-2117

DAVIS LEONARD DEAN PH#: 843-626-8282

TUANO JEFF PH#: 843-839-1642

PH#:

HUTTON STACY N PH#: 843-839-9811

MARZIPARO AMIR PH#: 843-445-9988

BROWN THOMAS R PH#: 843-945-9501

LUNDINE KIMBERLY M PH#: 716-450-4493

4

4

6

1

4

3

5

5



700 SEABOARD ST UNIT B C & D

704-E SEABOARD ST


602 SEABOARD ST STE 2

707 SEABOARD ST



Horry / Corporation

Horry / Corporation



Horry /

Horry / Corporation


TF-0076 / 09/30/2018

TF-0001 / 10/31/2018

TF-0068 / 05/31/2018

TF-0276 / 07/31/2018

TF-0095 / 07/31/2018

TF-0187 / 09/30/2018

TF-0173 / 08/31/2018

TF-0182 / 02/28/2019











700 SEABOARD ST UNIT C & D


602 SEABOARD ST STE 2

707 SEABOARD ST











ABRAHAM CHRISTOPHER

MYRTLE BEACH INK LLC


T&R INDUSTRIES LLC

HUTTON JR DAVID ALAN

A & M CREATIONS


PARIS STEVEN

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]

Not on File

[email protected]

Licensed

Units



March 6, 2018

28 hlfactcc.rdf

HorryCounty:





Number of Activities/Facilities licensed in county of :

Number Licensed Units : 3,353

Totals For Facility/License Type: Tattoo Facility

Total Number of Activities/Facilities licensed: 114 Total Number Licensed Units: 3,353

Report Totals

Horry 114# Lics:

Licensed

Units

county: horry facility type: adult day care · administrator/phone license nbr/expiration date...

Documents