county: lexington facility type: adult day care carolina department of health & environmental...
TRANSCRIPT
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
1 hlfactcc.rdf
LexingtonCounty:
Adult Day CareFacility Type:
HELPING HANDS ADULT DAY CARE MEMORY SUPPORTS
HELPING HANDS ADULT DAY SERVICES
HOPE BRIDGE AT THE HOLLIES
HOPE BRIDGE AT THE OAKS
LEXINGTON DAY HEALTH CENTER
SC EPISCOPAL HOME AT STILL HOPES ADULT DAY CARE
WRIGHT BARBARA T PH#: 803-796-5192
SHANNABROOK LORENA PH#: 803-791-3256
REDDING MELODY PH#:
CUTRI KRISTEN PH#: 803-796-5192
BLAND MARY JOYCE PH#: 803-939-8400
ROBERTSON NIKKI W PH#: 803-796-6490
94
92
180
165
60
12
2010 STATE ST
1111 STATE ST
2708 HEBRON RD
3532 LEAPHART RD
700 KNOX ABBOTT DR
1 STILL HOPES DR
Lexington / Corporation
Lexington / Corporation
Lexington / Corporation
Lexington / Corporation
Lexington / Non-Profit Corporation
Lexington / Corporation
ADC-0015 / 09/30/2018
ADC-0270 / 12/31/2018
ADC-0297 / 10/31/2018
ADC-0408 / 08/31/2018
ADC-0139 / 02/28/2019
ADC-0063 / 07/31/2018
CAYCE, SC 29033-3957 FAC.#:803-796-5192
CAYCE, SC 29033-4342 FAC.#:803-223-9790
W COLUMBIA, SC 29169 FAC.#:803-791-3255
WEST COLUMBIA, SC 29169
CAYCE, SC 29033-3340 FAC.#:803-939-8400
WEST COLUMBIA, SC 29169-7164 FAC.#:803-796-6490
2010 STATE ST
1111 STATE ST
2708 HEBRON RD
2010 STATE ST
700 KNOX ABBOTT DR
PO BOX 2959
CAYCE, SC 29033-3957
CAYCE, SC 29033-4342
W COLUMBIA, SC 29169
CAYCE, SC 29033-3957
CAYCE, SC 29033-3340
WEST COLUMBIA, SC 29171-2959
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:
94
92
180
165
60
12
Number of Activities/Facilities licensed: 6 Number Licensed Units: 603
HELPING HANDS ADULT DAY CARE INC
HELPING HANDS ADULT DAY CARE INC
HELPING HANDS ADULT DAY CARE INC
HELPING HANDS ADULT DAY CARE MEMORY SUPPORTS
PALMETTO HEALTH
SOUTH CAROLINA EPISCOPAL HOME AT STILL HOPES INC
Totals For Facility/License Type: Adult Day Care
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
2 hlfactcc.rdf
LexingtonCounty:
Ambulatory SurgeryFacility Type:
LAKE MURRAY ENDOSCOPY CENTER
MIDLANDS ENDOSCOPY CENTER
MOORE ORTHOPAEDIC CLINIC OUTPATIENT SURGERY CENTER
OUTPATIENT SURGERY CENTER OF LEXMEDCTR-LEXINGTON
SOUTH CAROLINA ENDOSCOPY CENTER
UROLOGY SURGERY CENTER
SEASE RN CINDY G PH#: 803-407-6767
MINHAS BALBIR S PH#: 803-749-3770
MERRITT RN STACI H PH#: 803-227-8083
SIPE ROGER L PH#: 803-358-6100
EDMONDSON DOREEN O PH#: 803-794-4585
LAMB MD DAVID F PH#: 803-796-9968
2
2
5
5
4
4
100 PALMETTO HEALTH PKWY STE 100
1 WELLNESS BLVD STE 111
104 SALUDA POINTE DR
811 W MAIN ST
131 SUMMERPLACE DR
139 SUMMERPLACE DR
Lexington / Ltd. Liability
Lexington / Ltd. Liability
Lexington / Ltd. Liability
Lexington / Non-Profit Corporation
Lexington / Ltd. Liability
Lexington / Ltd. Liability
ASF-0076 / 10/31/2018
ASF-0093 / 02/28/2019
ASF-0109 / 12/31/2018
ASF-0057 / 08/31/2018
ASF-0036 / 12/31/2018
ASF-0043 / 09/30/2018
COLUMBIA, SC 29212-1748 FAC.#:803-407-6767
IRMO, SC 29063-2873 FAC.#:803-749-3770
LEXINGTON, SC 29072 FAC.#:803-939-5050
LEXINGTON, SC 29072-2500 FAC.#:803-358-6100
WEST COLUMBIA, SC 29169-3058 FAC.#:803-794-4585
WEST COLUMBIA, SC 29169-3058 FAC.#:803-796-9968
1A BURTON HILLS BLVD
PO BOX 94
104 SALUDA POINTE DR
2720 SUNSET BLVD
131 SUMMERPLACE DR
139 SUMMERPLACE DR
NASHVILLE, TN 37215-6187
COLUMBIA, SC 29202-0094
LEXINGTON, SC 29072
WEST COLUMBIA, SC 29169-4810
WEST COLUMBIA, SC 29169-3058
WEST COLUMBIA, SC 29169-3058
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
4
4
0
2
Procedure Rooms:
Procedure Rooms:
Procedure Rooms:
Procedure Rooms:
Procedure Rooms:
Procedure Rooms:
0
0
1
0
0
2
Endoscopy Rooms:
Endoscopy Rooms:
Endoscopy Rooms:
Endoscopy Rooms:
Endoscopy Rooms:
Endoscopy Rooms:
2
2
0
1
4
0
Number of Activities/Facilities licensed: 6 Number Licensed Units: 22
COLUMBIA ASC NORTHWEST LLC
MIDLANDS ENDOSCOPY CENTER LLC
MOORE ORTHOPAEDIC CLINIC OUTPATIENT SURGERY CENTER LLC
LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC
SOUTH CAROLINA ENDOSCOPY CENTER LLC
UROLOGY SURGERY CENTER LLC
Totals For Facility/License Type: Ambulatory Surgery
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
3 hlfactcc.rdf
LexingtonCounty:
Community Residential Care FacilityFacility Type:
BROOK PINE COMMUNITY RESIDENTIAL CARE FACILITY
BROOKWOOD COMMUNITY RESIDENCE
CAROLINA GARDENS AT HARBISON
CAROLINA GARDENS AT LEXINGTON
CAROLINA GARDENS AT WEST COLUMBIA
MURPHY LAVERNE PH#: 803-955-3821
RUFF JR MURRY J PH#: 803-532-4440
BRADLEY CHARLES PH#: 803-749-7889
PIEPENBRING MATTHEW PH#: 803-520-5850
UNTHANK RUSSELL A PH#: 803-939-3000
16
8
82
80
184
3961 FISH HATCHERY RD
181 BROOKWOOD DR
990 COLUMBIA AVE
5422 AUGUSTA RD
2705 LEAPHART RD
Lexington / State
Lexington / Non-Profit Corporation
Lexington / Limited Liability
Lexington /
Lexington / Limited Liability
CRC-1302 / 06/30/2018
CRC-0879 / 09/30/2018
CRC-1932 / 12/31/2018
CRC-1907 / 08/31/2018
CRC-1910 / 08/31/2018
GASTON, SC 29053-9038 FAC.#:803-955-3821
BATESBURG, SC 29006-2324 FAC.#:803-532-4440
IRMO, SC 29063-2854 FAC.#:803-749-7889
LEXINGTON, SC 29072-3892 FAC.#:803-520-5850
WEST COLUMBIA, SC 29169-3335 FAC.#:803-939-3000
3961 FISH HATCHERY RD
PO BOX 4389
990 COLUMBIA AVE
5422 AUGUSTA RD
2705 LEAPHART RD
GASTON, SC 29053-9038
WEST COLUMBIA, SC 29171-4389
IRMO, SC 29063-2854
LEXINGTON, SC 29072-3892
COLUMBIA, SC 29169-3335
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
LEXINGTON COUNTY COMMUNITY MENTAL HEALTH CENTER (LCCMHC)
BABCOCK CENTER INC
FC MIDLANDS HARBISON LLC
FC MIDLANDS LEXINGTON LLC
FC MIDLANDS WEST COLUMBIA LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
No
No
Yes
Yes
Yes
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
Yes
Yes
Yes
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
26
23
15
0
0
32
50
64
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
4 hlfactcc.rdf
LexingtonCounty:
Community Residential Care FacilityFacility Type:
COLONIAL GARDENS ALZHEIMER'S SPECIAL CARE CENTER
GENERATIONS OF BATESBURG
GENERATIONS OF CHAPIN
GENERATIONS OF IRMO
JENNI-LYNN ASSISTED LIVING COMMUNITY
HARRIS BRENDA PH#: 803-796-2556
NIX HAMMIE R PH#: 803-532-8428
HOLLINGSWORTH VIRGINIA PH#: 803-345-1911
EDWARDS CHARLES DAVID PH#: 803-227-8991
SHEALY DEBBIE M PH#: 803-926-8600
66
88
56
78
63
3565 SUNSET BLVD
111 GENERATIONS BLVD
431 E BOUNDARY ST
7142 WOODROW ST
915 HOOK AVE
Lexington /
Lexington / Corporation
Lexington / Corporation
Lexington / Limited Liability
Lexington / Ltd. Liability
CRC-1542 / 03/31/2019
CRC-0647 / 09/30/2018
CRC-1128 / 10/31/2018
CRC-1477 / 05/31/2019
CRC-1248 / 09/30/2018
WEST COLUMBIA, SC 29169-3043 FAC.#:803-796-2556
BATESBURG, SC 29006-2315 FAC.#:803-532-8428
CHAPIN, SC 29036-8388 FAC.#:803-345-1911
IRMO, SC 29063-2832 FAC.#:803-227-8991
WEST COLUMBIA, SC 29169-5332 FAC.#:803-926-8600
3565 SUNSET BLVD
111 GENERATIONS BLVD
431 E BOUNDARY ST
7142 WOODROW ST
915 HOOK AVE
WEST COLUMBIA, SC 29169-3043
BATESBURG, SC 29006-2315
CHAPIN, SC 29036-8388
IRMO, SC 29063-2832
WEST COLUMBIA, SC 29169-5332
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
COLUMBIA CARE GROUP LLC
GENERATIONS OF BATESBURG INC
GENERATIONS OF CHAPIN INC
GENERATIONS OF IRMO LLC
JENNI-LYNN ASSISTED LIVING LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
Yes
No
No
Yes
No
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Yes
No
No
Yes
No
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
66
0
0
0
0
66
0
0
15
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
5 hlfactcc.rdf
LexingtonCounty:
Community Residential Care FacilityFacility Type:
LAUREL CREST
LEXINGTON PLACE
LIGHTHOUSE RESIDENTIAL CARE FACILITY
MORNINGSIDE OF LEXINGTON
NEW LIGHT COMMUNITY CARE
ROWLETTE-CARTER CASSANDRA N PH#: 803-796-0370
TYSON GARY M PH#: 803-936-0062
PH#:
PRIDDY JEREMY PH#: 803-957-3600
ANDERSON VALENCIA W PH#: 803-490-1428
26
90
10
49
14
100 JOSEPH WALKER DR
190 MCSWAIN DR
4033 DELREE ST LOT # 31
218 OLD CHAPIN RD
120 ADDY LN
Lexington / Non-Profit Corporation
Lexington / Limited Liability
Lexington / Sole Proprietorship
Lexington / Ltd. Liability
Lexington / Non-Profit Corporation
CRC-1999 / 01/31/2019
CRC-1989 / 10/31/2018
CRC-2013 / 03/31/2019
CRC-1280 / 06/30/2018
CRC-1958 / 03/31/2019
WEST COLUMBIA, SC 29169-6939 FAC.#:803-796-0370
WEST COLUMBIA, SC 29169-4825 FAC.#:803-936-0062
WEST COLUMBIA, SC 29170 FAC.#:803-957-0583
LEXINGTON, SC 29072-2030 FAC.#:803-957-3600
LEXINGTON, SC 29072-3405 FAC.#:803-490-1428
2817 ASHLAND RD
330 N WABASH AVE STE 3700
4033 DELREE ST LOT # 31
400 CENTRE ST
812 MEADOW ST
COLUMBIA, SC 29210
CHICAGO, IL 60611-7605
WEST COLUMBIA, SC 29170
NEWTON, MA 02458-2094
COLUMBIA, SC 29205
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
LAUREL CREST RETIREMENT COMMUNITY
WEST COLUMBIA BG OPCO LLC
ANGELINE A SMITH
MORNINGSIDE OF LEXINGTON LLC
NEW LIGHT COMMUNITY RESOURCE FOUNDATION
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
Yes
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:
6
0
0
0
0
6
0
0
0
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
6 hlfactcc.rdf
LexingtonCounty:
Community Residential Care FacilityFacility Type:
OAKLEAF VILLAGE OF LEXINGTON
PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-COLUMBIA
RAPHA RESIDENTIAL CARE INC
S & S ASSISTANCE HOUSING
SC EPISCOPAL HOME AT STILL HOPES (CRCF)
ELLIOTT ASHLEY PH#: 803-808-3477
BASILE JASON PH#: 803-796-8700
PROSSER PAULA C PH#: 803-755-6541
MCCRAY JAMUS PH#: 803-358-6573
ROBERTSON NIKKI W PH#: 803-796-6490
100
91
92
5
24
800 N LAKE DR
700 DAVEGA DR
3959 FISH HATCHERY RD
800 HENDRIX ST
1 STILL HOPES DR
Lexington / Limited Liability
Lexington / Non-Profit Corporation
Lexington / Limited Liability LimitedPartnership
Lexington / Sole Proprietorship
Lexington / Corporation
CRC-2014 / 09/30/2018
CRC-0387 / 06/30/2018
CRC-1283 / 04/30/2019
CRC-1526 / 09/30/2018
CRC-0144 / 07/31/2018
LEXINGTON, SC 29072-2903 FAC.#:803-808-3477
LEXINGTON, SC 29073-9698 FAC.#:803-796-8700
GASTON, SC 29053-9038 FAC.#:803-755-6541
LEXINGTON, SC 29072-2540 FAC.#:803-358-6573
WEST COLUMBIA, SC 29169-7164 FAC.#:803-796-6490
800 N LAKE DR
700 DAVEGA DR
3959 FISH HATCHERY RD
PO BOX 1361
PO BOX 2959
LEXINGTON, SC 29072-2903
LEXINGTON, SC 29073-9698
GASTON, SC 29053-9038
LEXINGTON, SC 29071-1361
WEST COLUMBIA, SC 29171-2959
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
LEXINGTON SENIOR HOUSING I OPCO LLC
PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA
MASTERMIND LIMITED PARTNERSHIP LLP
S & S ASSISTANCE HOUSING LLC
SOUTH CAROLINA EPISCOPAL HOME AT STILL HOPES INC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
None
Yes
Yes
No
No
Yes
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Yes
Yes
No
No
Yes
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
25
20
0
0
8
24
20
0
0
24
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
7 hlfactcc.rdf
LexingtonCounty:
Community Residential Care FacilityFacility Type:
SOUTHERN HERITAGE
TWILITE MANOR ADULT RESIDENTIAL CARE
WELLMORE OF LEXINGTON
DOUGLAS SR JONATHAN PH#: 803-796-3113
GOODWIN ROLANDA L PH#: 803-794-7561
TREMBLE WILLIAM M PH#: 803-520-1200
10
28
174
1713 CHARLESTON HWY
2306 FORREST ST
200 WELLMORE DR
Lexington / Corporation
Lexington /
Lexington /
CRC-0993 / 03/31/2019
CRC-1210 / 05/31/2019
CRC-1557 / 06/30/2018
WEST COLUMBIA, SC 29169-5051 FAC.#:803-796-3113
CAYCE, SC 29033-2124 FAC.#:803-794-7561
LEXINGTON, SC 29072 FAC.#:803-520-1200
PO BOX 25215
2306 FORRST ST
200 WELLMORE DR
COLUMBIA, SC 29224-5215
CAYCE, SC 29033
LEXINGTON, SC 29072
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 23 Number Licensed Units: 1,434
QUALITY CARE SERVICES INC
SEASHAR LLC
WELLMORE OF LEXINGTON LLC
Totals For Facility/License Type: Community Residential Care Facility
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
No
No
Yes
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
Yes
Yes
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
0
5
0
0
0
60
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
8 hlfactcc.rdf
LexingtonCounty:
Habilitation R15Facility Type:
BATESBURG GROUP HOME
BRUTON SMITH ROAD GROUP HOME
HENDRIX STREET GROUP HOME
NAZARETH ROAD COMMUNITY RESIDENCE
WIRE ROAD COMMUNITY RESIDENCE I
WIRE ROAD COMMUNITY RESIDENCE II
WILLIAMS GILDA PH#: 803-799-1970
WARD DELORIS PH#: 803-359-1350
WARD DELORIS PH#: 803-359-4888
CAUGHMAN BERNEKIA PH#: 803-957-3484
MOSS R PIKE PH#: 803-874-2664
MOSS PIKE PH#: 803-874-2664
8
8
8
8
8
8
132 PINEWOOD DR
139 BRUTON SMITH RD
425 HENDRIX ST
1118 NAZARETH RD
935-A WIRE RD
935-B WIRE RD
Lexington / State
Lexington / State
Lexington / State
Lexington / State
Lexington / State
Lexington / State
MR15-0181 / 06/30/2018
MR15-0185 / 06/30/2018
MR15-0199 / 06/30/2018
MR15-0213 / 06/30/2018
MR15-0225 / 06/30/2018
MR15-0226 / 06/30/2018
BATESBURG, SC 29006-2329 FAC.#:803-799-1970
LEXINGTON, SC 29072 FAC.#:803-359-1350
LEXINGTON, SC 29072 FAC.#:803-359-4888
LEXINGTON, SC 29073 FAC.#:803-957-3484
GILBERT, SC 29054 FAC.#:803-874-2664
GILBERT, SC 29054 FAC.#:803-874-2664
PO BOX 4706, CO-DEPT OF DISABILITIES & SPECIAL NEEDS
PO BOX 4706, DDSN C/O DAVID GOODELL
PO BOX 4706, DDSN C/O DAVID GOODELL
PO BOX 4706, DDSN C/O DAVID GOODELL
PO BOX 4706, DDSN C/O DAVID GOODELL
PO BOX 4706, DDSN C/O DAVID GOODELL
COLUMBIA, SC 29240-4706
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: 6 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
SC DEPARTMENT OF DISABILITIES AND SPECIAL NEEDS
Totals For Facility/License Type: Habilitation R15
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
9 hlfactcc.rdf
LexingtonCounty:
Home HealthFacility Type:
AMEDISYS HOME HEALTH OF LEXINGTON
LAUREL CREST HOME HEALTH
MEDICAL SERVICES OF AMERICA HOME HEALTH
CARSON ERIN PH#:
DEEL JAMES F PH#: 803-796-0370
MILLING JO PH#: 803-561-7680
13
0
35
714 S LAKE DR STE 250
100 JOSEPH WALKER DR
2 PALMETTO WOOD PKWY STE 201
Lexington / Ltd. Liability
Lexington / Corporation
Lexington / Corporation
HHA-0190 / 01/31/2019
HHA-0333 / 01/31/2019
HHA-0026 / 12/31/2018
LEXINGTON, SC 29072-3462 FAC.#:803-359-2253
WEST COLUMBIA, SC 29169-6939 FAC.#:803-796-0370
IRMO, SC 29063-2881 FAC.#:803-561-7680
714 S LAKE DR STE 250
PO BOX 609
LEXINGTON, SC 29072-3462
LEXINGTON, SC 29071
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
AMEDISYS SC LLC
LAUREL CREST RETIREMENT COMMUNITY
TRI-COUNTY HOME HEALTH CARE & SERVICES INC
Counties Served:
Counties Served:
Counties Served:
Aiken, Bamberg, Barnwell, Calhoun, Edgefield, Lee, Lexington, McCormick, Newberry,
Orangeburg, Richland, Saluda, Sumter
Lexington
Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Calhoun,
Cherokee, Chester, Clarendon, Colleton, Dorchester, Edgefield, Fairfield,
Greenville, Greenwood, Hampton, Jasper, Kershaw, Lancaster, Laurens, Lee,
Lexington, McCormick, Newberry, Oconee, Orangeburg, Pickens, Richland, Saluda,
Spartanburg, Sumter, Union, York
License Restrictions:
License Restrictions:
License Restrictions:
RESTRICTED TO RESIDENTS OF LAUREL CREST CAMPUS ONLY
Physical Therapy:
Physical Therapy:
Physical Therapy:
Y
N
Y
Speech Therapy:
Speech Therapy:
Speech Therapy:
Y
N
Y
Occupational Therapy:
Occupational Therapy:
Occupational Therapy:
Y
N
Y
Med. Social Services:
Med. Social Services:
Med. Social Services:
Y
N
Y
Home Health Aid:
Home Health Aid:
Home Health Aid:
Y
Y
Y
Medical Supplies/Appliances/Durable Medical Equipment:
Medical Supplies/Appliances/Durable Medical Equipment:
Medical Supplies/Appliances/Durable Medical Equipment:
N
N
N
Other:
Other:
Other:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
10 hlfactcc.rdf
LexingtonCounty:
Home HealthFacility Type:
NHC HOMECARE-MIDLANDS
STILL HOPES HOME HEALTH
TIDEWATER HOME HEALTH PA
MARCOS TOM PH#: 803-939-0266
ROBERTSON NIKKI W PH#: 803-796-6490
SHUTTLEWORTH ERIKA PH#: 803-757-7017
6
1
2
3229 SUNSET BLVD STE N
1 STILL HOPES DR
2858 SUNSET BLVD
Lexington / Limited Liability
Lexington / Corporation
Lexington / Partnership
HHA-0151 / 04/30/2019
HHA-0199 / 12/31/2018
HHA-0241 / 03/31/2019
WEST COLUMBIA, SC 29169-3202 FAC.#:803-939-0266
WEST COLUMBIA, SC 29169-7164 FAC.#:803-223-6173
WEST COLUMBIA, SC 29169 FAC.#:803-757-7017
PO BOX 3876
PO BOX 2959
215 MEDICAL CIR
WEST COLUMBIA, SC 29171-3876
WEST COLUMBIA, SC 29171-2959
WEST COLUMBIA, SC 29169-3653
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 6 Number Licensed Units: 57
NHC HOMECARE-SOUTH CAROLINA LLC
SOUTH CAROLINA EPISCOPAL HOME AT STILL HOPES INC
TIDEWATER HOME HEALTH PA
Counties Served:
Counties Served:
Counties Served:
Calhoun, Fairfield, Kershaw, Lexington, Richland, Sumter
Lexington, Special Note - SERVING CAMPUS RESIDENTS ONLY
Lexington, Richland
Totals For Facility/License Type: Home Health
License Restrictions:
License Restrictions:
License Restrictions:
SERVING CAMPUS RESIDENTS ONLY
Physical Therapy:
Physical Therapy:
Physical Therapy:
Y
N
Y
Speech Therapy:
Speech Therapy:
Speech Therapy:
Y
N
Y
Occupational Therapy:
Occupational Therapy:
Occupational Therapy:
Y
N
Y
Med. Social Services:
Med. Social Services:
Med. Social Services:
Y
N
Y
Home Health Aid:
Home Health Aid:
Home Health Aid:
Y
Y
Y
Medical Supplies/Appliances/Durable Medical Equipment:
Medical Supplies/Appliances/Durable Medical Equipment:
Medical Supplies/Appliances/Durable Medical Equipment:
N
N
Y
Other:
Other:
Other:
DIETARY CONSULTATION
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
11 hlfactcc.rdf
LexingtonCounty:
Hospice FacilityFacility Type:
AGAPE HOUSE OF LEXINGTON
DILLARD REBECCA J PH#: 803-776-4484
30
128 LIBRARY HILL LN
Lexington / Corporation
HPF-0029 / 03/31/2019
LEXINGTON, SC 29072-3893 FAC.#:803-520-5940
128 LIBRARY HILL LN
LEXINGTON, SC 29072-3893
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
AGAPE COMMUNITY HOSPICE OF THE GRAND STRAND INC
Totals For Facility/License Type: Hospice Facility
Facility Email: [email protected]
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
12 hlfactcc.rdf
LexingtonCounty:
Hospice ProgramFacility Type:
ABBEY ROAD HOSPICE
AGAPE HOSPICE OF THE UPSTATE
ALL SEASONS HOSPICE
ARISTA HOSPICE
COMFORT CARE HOSPICE
TAYLOR BRAD PH#: 803-551-5552
STONE KELLY PH#: 803-454-6113
REIGLE DEBRA M PH#: 864-227-8855
BUSSIE RN JANET W PH#: 803-256-6868
PH#:
5
46
14
23
31
5429 BUSH RIVER RD
1053 CENTER ST
7142 WOODROW ST
3101 SUNSET BLVD STE B
403 N LAKE DR
Lexington / Limited Liability
Lexington / Corporation
Lexington / Corporation
Lexington / Limited Liability LimitedPartnership
Lexington / Limited Liability
HPC-0127 / 08/31/2018
HPC-0129 / 10/31/2018
HPC-0179 / 02/28/2019
HPC-0161 / 07/31/2018
HPC-0183 / 06/30/2018
COLUMBIA, SC 29212-3008 FAC.#:803-551-5552
WEST COLUMBIA, SC 29169-6749 FAC.#:803-454-6113
IRMO, SC 29063-2832 FAC.#:803-602-0300
WEST COLUMBIA, SC 29169-3425 FAC.#:803-256-6868
LEXINGTON, SC 29072 FAC.#:803-749-8080
5429 BUSH RIVER RD
1053 CENTER ST
7142 WOODROW ST
3101 SUNSET BLVD STE B
403 N LAKE DR
COLUMBIA, SC 29212-3008
WEST COLUMBIA, SC 29169-6749
IRMO, SC 29063-2832
WEST COLUMBIA, SC 29169-3425
LEXINGTON, SC 29072
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
ABBEY ROAD HOSPICE LLC
AGAPE COMMUNITY HOSPICE OF THE GRAND STRAND INC
ALL SEASONS HEALTHCARE INC
ARISTA HOSPICE LLP
COMFORT CARE HOSPICE LLC
Counties Served:
Counties Served:
Counties Served:
Counties Served:
Counties Served:
Fairfield, Kershaw, Lexington, Newberry, Richland
Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley,
Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton,
Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown,
Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee,
Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens,
Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York
Aiken, Bamberg, Barnwell, Calhoun, Edgefield, Fairfield, Kershaw, Lexington,
Newberry, Orangeburg, Richland, Saluda, Sumter, Union
Aiken, Berkeley, Charleston, Chester, Clarendon, Darlington, Dorchester,
Fairfield, Florence, Horry, Kershaw, Lancaster, Lee, Lexington, Marion, Newberry,
Orangeburg, Richland, Saluda, Sumter, Union, Williamsburg, York
Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun,
Charleston, Darlington, Dillon, Dorchester, Edgefield, Florence, Georgetown,
Greenville, Greenwood, Hampton, Horry, Laurens, Lexington, McCormick, Newberry,
Oconee, Orangeburg, Pickens, Richland, Saluda, Spartanburg, Sumter, Union
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
13 hlfactcc.rdf
LexingtonCounty:
Hospice ProgramFacility Type:
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: 119
Totals For Facility/License Type: Hospice Program
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
14 hlfactcc.rdf
LexingtonCounty:
Hospital or Institutional General InfirmaryFacility Type:
LEXINGTON MEDICAL CENTER
SOUTH CAROLINA VOCATIONAL REHABILITATION EVALUATION
CENTER
THREE RIVERS BEHAVIORAL HEALTH
AUGSBURGER TOD PH#: 803-791-2000
CATO ALISON PH#:
MCGEE KEVIN PH#: 803-796-9911
438
30
122
2720 SUNSET BLVD
1400 BOSTON AVE
2900 SUNSET BLVD
Lexington / Non-Profit Corporation
Lexington / State
Lexington / Limited Liability
HTL-0500 / 03/31/2019
HTL-0426 / 09/30/2018
HTL-0808 / 10/31/2018
WEST COLUMBIA, SC 29169-4810 FAC.#:803-791-2000
WEST COLUMBIA, SC 29170-2138 FAC.#:803-896-6040
WEST COLUMBIA, SC 29169-3422 FAC.#:803-796-9911
2720 SUNSET BLVD
1400 BOSTON AVE
2900 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
WEST COLUMBIA, SC 29170-2138
WEST COLUMBIA, SC 29169-3422
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Licensed Beds:
Licensed Beds:
Licensed Beds:
General:
General:
General:
438
30
0
Psychiatric:
Psychiatric:
Psychiatric:
0
0
105
Rehab:
Rehab:
Rehab:
0
0
0
Substance Abuse:
Substance Abuse:
Substance Abuse:
0
0
17
Other Beds :
Other Beds :
Other Beds :
NICU:
NICU:
NICU:
0
0
0
Neonatal Special Care:
Neonatal Special Care:
Neonatal Special Care:
20
0
0
Number of Activities/Facilities licensed: 3 Number Licensed Units: 590
LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC
SOUTH CAROLINA VOCATIONAL REHABILITATION DEPARTMENT
THREE RIVERS BEHAVIORAL HEALTH LLC
Totals For Facility/License Type: Hospital or Institutional General Infirmary
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Abortions, Trauma Center Level III, Perinatal Level II
None
JCAHO Accredited
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
15 hlfactcc.rdf
LexingtonCounty:
Inhome Care ProviderFacility Type:
AGAPE @ HOME
ALLCAREGIVERS INC
ASSISTING HANDS HOME CARE
ATTENTIVE ANGELS HOME CARE
BELLA HOME CARE OF THE MIDLANDS
BRIGHTSTAR HEALTHCARE OF LEXINGTON/WEST COLUMBIA
BROOK HEALTH CARE LLC
CARE BY GENERATIONS
BLACKWELL AMANDA PH#: 803-778-9690
PH#:
PH#:
BROWN DAVETTE PH#: 803-888-7857
PH#:
WHITTELSEY SUSAN PH#: 843-837-3773
PH#:
EDWARDS CHARLES D PH#: 803-345-8745
- 1
- 1
- 1
- 1
- 1
- 1
- 1
- 1
1053 CENTER ST
4727-C SUNSET BLVD
203 OLD CHAPIN RD UNIT 211
1710 SUNSET BLVD STE B
113 ST ANDREWS CT
114 HAYGOOD ST STE A
200 CLARK ST STE 107
429 E BOUNDARY ST
Lexington / Corporation
Lexington / Corporation
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Limited Liability
IHCP-0668 / 06/30/2018
IHCP-0216 / 07/31/2018
IHCP-0494 / 05/31/2019
IHCP-0553 / 05/31/2019
IHCP-0848 / 04/30/2019
IHCP-0830 / 09/30/2018
IHCP-0112 / 04/30/2019
IHCP-0513 / 02/28/2019
WEST COLUMBIA, SC 29169-6749 FAC.#:803-520-5855
LEXINGTON, SC 29072-9151 FAC.#:803-951-0771
LEXINGTON, SC 29072-2083 FAC.#:803-661-7557
WEST COLUMBIA, SC 29169 FAC.#:803-888-7857
COLUMBIA, SC 29210 FAC.#:803-404-3978
LEXINGTON, SC 29072 FAC.#:803-358-8315
CHAPIN, SC 29036-8633 FAC.#:803-941-7231
CHAPIN, SC 29036-8388 FAC.#:803-345-8745
4727-C SUNSET BLVD
PO BOX 2563
1710 SUNSET BLVD STE B
PO BOX 484
429 E BOUNDARY ST
LEXINGTON, SC 29072-9151
LEXINGTON, SC 29071-2563
WEST COLUMBIA, SC 29169
CHAPIN, SC 29036
CHAPIN, SC 29036-8388
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
AGAPE @ HOME INC
ALLCAREGIVERS INC
TEAM JAYNE LLC
ATTENTIVE ANGELS HOME CARE
PREMIERE BUSINESS PURSUITS
S S & J ASSOCIATES LLC
BROOK HEALTH CARE LLC
GEN-ED LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
16 hlfactcc.rdf
LexingtonCounty:
Inhome Care ProviderFacility Type:
CARING INC
COMFORT KEEPERS OF WEST COLUMBIA
COMPANION HOMECARE AND MEDICAL STAFFING
DAYBREAK ADULT CARE SERVICES
DLORAH HOME CARE SERVICES
EPIC EXTRAORDINARY PERSONALIZED IN HOME CARE (NON-
MEDICAL)
FIRSTLIGHT HOMECARE OF COLUMBIA
PH#:
PH#:
PH#:
PH#:
PH#:
PH#:
PH#:
- 1
- 1
- 1
- 1
- 1
- 1
- 1
6 B BUSH RIVER CT
3214 LEAPHART RD STE C
3604 FERNANDINA RD
123 LIBRARY HILL LN STE A
3600 FERNANDINA RD
21 LOVE VALLEY CT
1309 AUGUSTA RD
Lexington / Corporation
Lexington / Corporation
Lexington / Limited Liability
Lexington / Corporation
Lexington /
Lexington / Corporation
Lexington /
IHCP-0145 / 05/31/2019
IHCP-0221 / 07/31/2018
IHCP-0802 / 11/30/2018
IHCP-0003 / 12/31/2018
IHCP-0152 / 05/31/2018 (Renewal Pending)
IHCP-0563 / 06/30/2018
IHCP-0065 / 02/28/2019
COLUMBIA, SC 29210-4858 FAC.#:803-772-2231
WEST COLUMBIA, SC 29169-3005 FAC.#:803-739-4442
COLUMBIA, SC 29210 FAC.#:706-445-9419
LEXINGTON, SC 29072-3895 FAC.#:803-356-4451
COLUMBIA, SC 29210-5221 FAC.#:803-798-1300
CHAPIN, SC 29036 FAC.#:803-730-5797
WEST COLUMBIA, SC 29169 FAC.#:803-356-0916
6 B BUSH RIVER CT
3214 LEAPHART RD STE C
123 LIBRARY HILL LN STE A
PO BOX 210594
21 LOVE VALLEY CT
1309 AUGUSTA RD
COLUMBIA, SC 29210-4858
WEST COLUMBIA, SC 29169-3005
LEXINGTON, SC 29072-3895
COLUMBIA, SC 29221-0594
CHAPIN, SC 29036
WEST COLUMBIA, SC 29169
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
CARING HEALTHCARE INC
BLAKEMORE & DUNN INC
COMPANION HOMECARE AND MEDICAL STAFFING LLC
DAYBREAK ADULT CARE SERVICES INC
DLORAH LLC
CINDY KELLETT
PRICELESS HOMECARE LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
MICHELLE@COMPANIONHOMECAREANDSTAFFING.
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
17 hlfactcc.rdf
LexingtonCounty:
Inhome Care ProviderFacility Type:
GOOD DEEDS HOME CARE LLC
GRACE CAREGIVERS
HANDS AND HEARTS HOME CARE
HOMECARE SOLUTIONS SC
IN HOME CARE SERVICES
KEY CHOICE HOME CARE
KH NURSING SERVICES
KOGER HOME CARE
PH#:
PH#:
PH#:
TUTTLE MELISSA PH#: 803-764-7559
PH#:
PH#:
PH#:
PH#:
- 1
- 1
- 1
- 1
- 1
- 1
- 1
- 1
1053 CENTER ST
814 E MAIN ST
1213 STATE ST
100 ASHLAND PARK LN STE C
132 BENTGRASS LN
322A S LAKE DR, STE 3
142 GREENBANK DR
1625 CHARLESTON HWY STE C 2ND LEVEL
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Limited Liability
IHCP-0168 / 05/31/2018 (Renewal Pending)
IHCP-0722 / 05/31/2019
IHCP-0095 / 04/30/2019
IHCP-0775 / 08/31/2018
IHCP-0683 / 03/31/2019
IHCP-0292 / 09/30/2018
IHCP-0851 / 05/31/2019
IHCP-0613 / 09/30/2018
WEST COLUMBIA, SC 29169-6749 FAC.#:803-764-4750
LEXINGTON, SC 29072-3612 FAC.#:803-399-8014
CAYCE, SC 29033 FAC.#:803-926-1669
COLUMBIA, SC 29210 FAC.#:803-764-7559
GASTON, SC 29053 FAC.#:803-682-3977
LEXINGTON, SC 29072 FAC.#:803-485-1284
LEXINGTON, SC 29073 FAC.#:803-820-0698
WEST COLUMBIA, SC 29169 FAC.#:803-794-9740
1053 CENTER ST
105 WOOD DALE DR
1213 STATE ST
100 ASHLAND PARK LN STE C
132 BENTGRASS LN
PO BOX 84246
1925 CHARLESTON HWY STE C 2ND LEVEL
WEST COLUMBIA, SC 29169-6749
LEXINGTON, SC 29072
CAYCE, SC 29033
COLUMBIA, SC 29210
GASTON, SC 29053
LEXINGTON, SC 29072
WEST COLUMBIA, SC 29169
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
THE HAVENS ENTERPRISE LLC
GRACE CAREGIVERS LLC
HANDS AND HEARTS HOME CARE
HOMECARE SOLUTIONS SC LLC
IN HOME CARE SERVICES DEVELOPMENT LLC
KEY CARE HEALTH SERVICES LLC
KIMBERLY HARE LLC
KOGER HOME CARE LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
18 hlfactcc.rdf
LexingtonCounty:
Inhome Care ProviderFacility Type:
MCLEOD HOME CARE
MIDLANDS BE WELL HOME SERVICES
PERSONAL CARE PLUS LLC
RIGHT AT HOME - COLUMBIA
SHEPPARD'S HELPING HANDS
SOLUTIONS FOR LIVING AT HOME
SUPERIOR CARE TEAM
ULTRA HOME CARE SERVICES
PH#:
COOPER CATHI PH#: 803-251-4670
PH#:
PH#:
PH#:
CISNEROS JOAN PH#: 803-223-6173
PH#:
PH#:
- 1
- 1
- 1
- 1
- 1
- 1
- 1
- 1
304 KENWOOD DR
102 FORTRESS DR
989 KNOX ABBOTT DR STE 110
1904 SUNSET BLVD STE D
311 W COLUMBIA AVE
945 9TH ST
1508 EMORY CT
4031 CHARLESTON HWY
Lexington / Limited Liability
Lexington / Non-Profit Corporation
Lexington / Limited Liability
Lexington / Corporation
Lexington / Limited Liability Company(single member)
Lexington / Corporation
Lexington / Limited Liability
Lexington / Limited Liability
IHCP-0741 / 07/31/2018
IHCP-0050 / 01/31/2019
IHCP-0307 / 09/30/2018
IHCP-0029 / 10/31/2018
IHCP-0175 / 06/30/2018
IHCP-0341 / 11/30/2018
IHCP-0794 / 11/30/2018
IHCP-0636 / 10/31/2017 (Renewal Pending)
LEXINGTON, SC 29072 FAC.#:803-233-1399
CHAPIN, SC 29036 FAC.#:803-251-4670
CAYCE, SC 29033 FAC.#:803-794-4060
WEST COLUMBIA, SC 29169 FAC.#:803-551-4004
BATESBURG, SC 29006 FAC.#:803-687-1613
CAYCE, SC 29033-3343 FAC.#:803-223-6173
COLUMBIA, SC 29212 FAC.#:803-465-0100
WEST COLUMBIA, SC 29172-2907 FAC.#:803-269-8170
PO BOX 805
PO BOX 4506
1904 SUNSET BLVD STE D
311 W COLUMBIA AVE
PO BOX 2959
1508 EMORY CT
165 CRANBROOK CT
WHITE ROCK, SC 29177
WEST COLUMBIA, SC 29171-4506
WEST COLUMBIA, SC 29169
BATESBURG, SC 29006
WEST COLUMBIA, SC 29171-2959
COLUMBIA, SC 29212
GASTON, SC 29053
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
MCLEOD HOME CARE LLC
LUTHERAN HOMES OF SOUTH CAROLINA INC
PERSONAL CARE PLUS LLC
BROWN AND ASSOCIATES HOME HEALTH SERVICES INC
SHEPPARD S HELPING HANDS LLC
SC EPISCOPAL HOME AT STILL HOPES
SUPERIOR CARE TEAM LLC
ULTRA HOME CARE SERVICES LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
19 hlfactcc.rdf
LexingtonCounty:
Inhome Care ProviderFacility Type:
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Number of Activities/Facilities licensed: 31 Number Licensed Units: - 31
Totals For Facility/License Type: Inhome Care Provider
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
20 hlfactcc.rdf
LexingtonCounty:
Nursing HomeFacility Type:
BRIAN CENTER OF NURSING CARE-ST ANDREWS
LAUREL CREST RETIREMENT COMMUNITY
LEXINGTON MEDICAL CENTER EXTENDED CARE
MILLENNIUM POST ACUTE REHABILITATION
MORLEY MILLICENT PH#: 803-798-9715
DEEL JAMES F PH#: 803-796-0370
GILL KATHRYN PH#: 803-359-5181
NADKARNI NATASHA PH#: 803-796-8024
108
12
388
132
3514 SIDNEY RD
100 JOSEPH WALKER DR
815 OLD CHEROKEE RD
2416 SUNSET BLVD
Lexington / Ltd. Liability
Lexington / Non-Profit Corporation
Lexington / Corporation
Lexington / Corporation
NCF-0875 / 05/31/2018 (Renewal Pending)
NCF-1001 / 01/31/2019
NCF-0730 / 12/31/2018
NCF-0948 / 11/30/2018
COLUMBIA, SC 29210-4494 FAC.#:803-798-9715
WEST COLUMBIA, SC 29169-6939 FAC.#:803-796-0370
LEXINGTON, SC 29072-8115 FAC.#:803-359-5181
WEST COLUMBIA, SC 29169-4791 FAC.#:803-796-8024
3514 SIDNEY RD
2817 ASHLAND RD
815 OLD CHEROKEE RD
27101 PUERTA REAL STE 450
COLUMBIA, SC 29210-4494
COLUMBIA, SC 29210
LEXINGTON, SC 29072-8115
MISSION VIEJO, CA 92691
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:
108
0
388
132
Institutional Nursing Home:
Institutional Nursing Home:
Institutional Nursing Home:
Institutional Nursing Home:
0
12
0
0
BRIAN CENTER/ST ANDREWS LLC
LAUREL CREST RETIREMENT COMMUNITY
LEXMED INC
STONEY HILL HEATLHCARE INC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
No
No
Yes
No
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
Yes
No
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
0
0
0
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
21 hlfactcc.rdf
LexingtonCounty:
Nursing HomeFacility Type:
NHC HEALTHCARE LEXINGTON
OPUS POST ACUTE REHABILITATION
PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-COLUMBIA
RETREAT AT WELLMORE OF LEXINGTON
MANLEY MICHAEL W PH#: 803-939-0026
SHEETS STEVEN PH#: 803-739-5282
BASILE JASON PH#: 803-796-8700
TREMBLE WILLIAM M PH#: 803-520-1200
170
100
44
60
2993 SUNSET BLVD
300 AGAPE DR
700 DAVEGA DR
200 WELLMORE DR BLDG #4
Lexington / Ltd. Liability
Lexington / Corporation
Lexington / Non-Profit Corporation
Lexington /
NCF-0798 / 06/30/2018
NCF-0976 / 12/31/2018
NCF-0545 / 12/31/2018
NCF-0966 / 07/31/2018
WEST COLUMBIA, SC 29169-3421 FAC.#:803-939-0026
WEST COLUMBIA, SC 29169-3307 FAC.#:803-739-5282
LEXINGTON, SC 29073-9698 FAC.#:803-796-8700
LEXINGTON, SC 29072 FAC.#:803-520-1200
2993 SUNSET BLVD
27101 PUERTA REAL STE 450
700 DAVEGA DR
200 WELLMORE DR BLDG #4
WEST COLUMBIA, SC 29169-3421
MISSION VIEJO, CA 92691-8566
LEXINGTON, SC 29073-9698
LEXINGTON, SC 29072
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:
170
100
44
60
Institutional Nursing Home:
Institutional Nursing Home:
Institutional Nursing Home:
Institutional Nursing Home:
0
0
0
0
NHC HEALTHCARE/LEXINGTON LLC
SOUTHERN CHARM HEALTHCARE INC
PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA
WELLMORE OF LEXINGTON LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
Certifications:
Certifications:
Certifications:
Certifications:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
Alzheimer Care:
None
None
None
None
No
No
Yes
No
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
Alzheimer Unit:
No
No
Yes
No
Max # Resident:
Max # Resident:
Max # Resident:
Max # Resident:
Max # Beds:
Max # Beds:
Max # Beds:
Max # Beds:
0
0
0
0
0
0
0
0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
22 hlfactcc.rdf
LexingtonCounty:
Nursing HomeFacility Type:
SOUTH CAROLINA EPISCOPAL HOME AT STILL HOPE
ROBERTSON NIKKI W PH#: 803-796-6490
62
1 STILL HOPES DR
Lexington / Corporation
NCF-0392 / 12/31/2018
WEST COLUMBIA, SC 29169-7164 FAC.#:803-796-6490
PO BOX 2959
WEST COLUMBIA, SC 29171-2959
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
Licensed Beds: Nursing Home: 62 Institutional Nursing Home: 0
Number of Activities/Facilities licensed: 9 Number Licensed Units: 1,076
SOUTH CAROLINA EPISCOPAL HOME AT STILL HOPES INC
Totals For Facility/License Type: Nursing Home
Facility Email: [email protected]
Licensed
Units
Certifications:
Alzheimer Care:
None
NoAlzheimer Unit:Yes Max # Resident: Max # Beds:0 0
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
23 hlfactcc.rdf
LexingtonCounty:
PSAD OutpatientFacility Type:
COLUMBIA METRO TREATMENT CENTER
WELLS WIRE PH#:
1
421 CAPITOL SQUARE
Lexington / Limited Liability LimitedPartnership
OTPN-0026 / 09/30/2018
WEST COLUMBIA, SC 29169 FAC.#:803-791-9422
8529 SOUTHPARK CIR STE 270
ORLANDO, FL 32819-9017
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
METRO TREATMENT OF SOUTH CAROLINA
Totals For Facility/License Type: PSAD Outpatient
Facility Email: [email protected]
Licensed
Units
Certifications:Narcotics Treatment Program, Methodone Treatment Program
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
24 hlfactcc.rdf
LexingtonCounty:
Renal DialysisFacility Type:
FRESENIUS MEDICAL CARE BATESBURG-LEESVILLE
FRESENIUS MEDICAL CARE LEXINGTON
FRESENIUS MEDICAL CARE SOUTH CONGAREE
FRESENIUS MEDICAL CARE WEST COLUMBIA
GASTON DIALYSIS
GORDON JERMAINE PH#: 803-604-8002
THOMAS JANICE G PH#: 803-695-0145
MONCURE ANNE M PH#: 803-865-4500
THOMPSON ROBBIE PH#: 803-733-1764
BROWN ANTOINETTE PH#:
21
21
21
20
11
303 VILLAGE SQUARE DR
131 WHISPERING WINDS DR
1000 RAMBLIN RD
105 SUM MOR DR
5224 HWY 321
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Limited Liability
Lexington / Corporation
ERD-0161 / 02/28/2019
ERD-0107 / 02/28/2019
ERD-0245 / 04/30/2019
ERD-0049 / 02/28/2019
ERD-0205 / 05/31/2019
LEESVILLE, SC 29070-7055 FAC.#:803-604-8002
LEXINGTON, SC 29072-3869 FAC.#:803-695-0145
WEST COLUMBIA, SC 29172 FAC.#:803-722-6048
WEST COLUMBIA, SC 29169-4828 FAC.#:803-733-1764
GASTON, SC 29053-9194 FAC.#:803-796-7830
303 VILLAGE SQUARE DR
131 WHISPERING WINDS DR
1000 RAMBLIN RD
105 SUM MOR DR
5200 VIRGINIA WAY
LEESVILLE, SC 29070-7055
LEXINGTON, SC 29072-3869
WEST COLUMBIA, SC 29172
WEST COLUMBIA, SC 29169-4828
BRENTWOOD, TN 37027-7569
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: 94
Licensed Stations:
Licensed Stations:
Licensed Stations:
Licensed Stations:
Licensed Stations:
Hemodialysis:
Hemodialysis:
Hemodialysis:
Hemodialysis:
Hemodialysis:
21
21
21
20
11
Peritoneal:
Peritoneal:
Peritoneal:
Peritoneal:
Peritoneal:
0
0
0
0
0
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS LLC
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS LLC
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS LLC
FRESENIUS MEDICAL CARE CNA KIDNEY CENTERS LLC
TOTAL RENAL CARE INC
Totals For Facility/License Type: Renal Dialysis
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
25 hlfactcc.rdf
LexingtonCounty:
Residential Treatment for Children & AdolescentsFacility Type:
THREE RIVERS RESIDENTIAL TREATMENT-MIDLANDS CAMPUS
ABBOTT JACQUELINE PH#: 803-791-9918
64
200 ERMINE RD
Lexington / Corporation
RTF-0018 / 01/31/2019
WEST COLUMBIA, SC 29170-2024 FAC.#:803-791-9918
200 ERMINE RD
WEST COLUMBIA, SC 29170-2024
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: 64
THREE RIVERS RESIDENTIAL TREATMENT-MIDLANDS CAMPUS INC
Totals For Facility/License Type: Residential Treatment for Children & Adolescents
Facility Email: [email protected]
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
26 hlfactcc.rdf
LexingtonCounty:
Tattoo FacilityFacility Type:
8 SINS TATTOO
ANIMATED CANVAS OF LEXINGTON
GYPSY MOON TATTOO
LUCKY 7'S ELECTRIC TATTOO COMPANY
MR SHORTY'S TATTOO EMPORIUM
TATWAY TATTOOS
TATWAY TATTOOS TOO LLC
TOYE SHOP INK
SPREEUWERS ANDY D PH#: 803-750-2485
KUMO SCOTT PH#: 951-318-6894
WILEY JOSH PH#: 803-546-2149
MCMAHON SHAWN PH#: 803-446-8163
MARIKA LAURNA V PH#: 803-808-5761
MUNN JR LARRY W PH#: 803-665-8621
PH#:
CURRY THADDEUS LETOYE PH#: 803-477-6867
4
4
4
4
4
4
1
3
2301 BUSH RIVER RD STE C
4325 AUGUSTA RD STE E
6145 SAINT ANDREWS RD
3937 PLATT SPRINGS RD STE B
4346 AUGUSTA RD
1500 W MAIN ST STE B
5305 I HWY 321
5366B PLATT SPRINGS RD
Lexington / Limited Liability
Lexington / Sole Proprietorship
Lexington / Corporation
Lexington / Limited Liability
Lexington / Ltd. Liability
Lexington /
Lexington / Sole Proprietorship
Lexington / Limited Liability Company(multiple member)
TF-0049 / 08/31/2018
TF-0094 / 06/30/2018
TF-0264 / 12/31/2018
TF-0148 / 12/31/2018
TF-0021 / 09/30/2018
TF-0178 / 01/31/2018 (Renewal Pending)
TF-0296 / 07/31/2018
TF-0175 / 08/31/2018
COLUMBIA, SC 29210-5660 FAC.#:803-750-2485
LEXINGTON, SC 29073-7941 FAC.#:803-359-3241
COLUMBIA, SC 29212-3121 FAC.#:803-851-3307
WEST COLUMBIA, SC 29170-1605 FAC.#:803-755-7472
LEXINGTON, SC 29073-9151 FAC.#:803-808-5761
LEXINGTON, SC 29072-2330 FAC.#:803-399-8875
GASTON, SC 29053 FAC.#:803-665-8621
LEXINGTON, SC 29073-6741 FAC.#:803-477-6867
2301 BUSH RIVER RD STE C
1209 PARK ST
6145 SAINT ANDREWS RD
3937-B PLATT SPRINGS RD
4346 AUGUSTA RD
1500 W MAIN ST STE B
240 HERTIAGE TRAIL
1925 S LAKE DR STE 5
COLUMBIA, SC 29210-5660
COLUMBIA, SC 29201-3139
COLUMBIA, SC 29212-3121
WEST COLUMBIA, SC 29170-1605
LEXINGTON, SC 29073-9151
LEXINGTON, SC 29072-2330
LEXINGTON, SC 29072
LEXINGTON, SC 29073-6741
Facility NameLocation StreetLocation City, State Administrator/Phone License Nbr/Expiration Date
County/Ownership TypeMailing/Billing AddressLicensee
STUCK SIDEWAYS LLC
ANIMATED CANVAS LLC
GYPSY MOON INC
LUCKY 7'S ELECTRIC TATTOO COMPANY LLC
MR SHORTY'S TATTOO EMPORIUM LLC
TATWAY TATTOOS LLC
MUNN WAYNE & STEFEY
TOYE SHOP INK LLC
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Facility Email:
Licensed
Units
South Carolina Department of Health & Environmental Control
Division of Health Licensing
June 1, 2018
27 hlfactcc.rdf
LexingtonCounty:
Tattoo FacilityFacility Type:
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: 28
Number of Activities/Facilities licensed in county of :
Number Licensed Units : 4,135
Totals For Facility/License Type: Tattoo Facility
Total Number of Activities/Facilities licensed: 111 Total Number Licensed Units: 4,135
Report Totals
Lexington 111# Lics:
Licensed
Units