SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES...

103
July 7, 2020 HLFT.rdf SCDHEC July 7, 2020 Name of Facility Location Street Location City, State Administrator License#/Expiration County/Ownership Type Mailing Address Licensee Inhome Care Provider Nbr Licensed Beds, Stations, etc. Page 1 of 103 ABOVE BEYOND HOMECARE ALL WAYS CARING HOMECARE AIKEN BELIEVE HOME CARE SERVICES LLC BEYOND HOMECARE SERVICES COMFORT KEEPERS #429 OF NORTH AUGUSTA CORPORATE CARE LLC-AIKEN CRITICAL NURSE STAFFING 910 TODD AVE 261 ARBOR TERRACE 1469 AUGUSTA RD 528 EDGEFIELD RD STE B2 511 WEST AVE 655 SILVER BLUFF RD STE B 237 BARNWELL NW NORTH AUGUSTA, SC 29841 FACILITY #:803-221-6832 AIKEN, SC 29801 FACILITY #:803-641-8147 WARRENVILLE, SC 29851 FACILITY #:803-392-7018 BELVEDERE, SC 29841 FACILITY #:803-221-7556 NORTH AUGUSTA, SC 29841-3708 FACILITY #:803-279-7100 AIKEN, SC 29803 FACILITY #:864-335-3266 AIKEN, SC 29801 FACILITY #:803-716-8100 DOBBS COREY L PH#: 803-221-6832 DENT SMITH LAURIE PH#: 803-641-8147 PH#: HILL BRANDICE PH#: 803-221-7556 PH#: PH#: ST JOHN BERNADETTE PH#: 803-716-8100 IHCP-0982 / 01/31/2021 IHCP-0011 / 05/31/2021 IHCP-0340 / 08/31/2020 IHCP-0614 / 09/30/2020 IHCP-0080 / 03/31/2021 IHCP-0317 / 08/31/2020 IHCP-0820 / 10/31/2020 Aiken / Sole Proprietorship Aiken / Corporation Aiken / Limited Liability Aiken / Sole Proprietorship Aiken / Corporation Aiken / Limited Liability Aiken / Limited Liability PO BOX 8 528 EDGEFIELD RD STE B2 511 WEST AVE PO BOX 16148 GRANITEVILLE, SC 29829 BELVEDERE, SC 29841 NORTH AUGUSTA, SC 29841-3708 GREENVILLE, SC 29606-7148 COREY L DOBBS SOUTHERN HOME CARE SERVICES INC BELIEVE HOME HEALTH CARE LLC BEYOND HOMECARE SERVICES TIGA INC CORPORATE CARE LLC CRITICAL NURSE STAFFING LLC -1 -1 -1 -1 -1 -1 -1 Fac. Cont. Email: Fac. Cont. Email: Fac. Cont. Email: Fac. Cont. Email: Fac. Cont. Email: Fac. Cont. Email: Fac. Cont. Email: No Fac Cont Email on record No Fac Cont Email on record No Fac Cont Email on record [email protected] No Fac Cont Email on record No Fac Cont Email on record [email protected]

Transcript of SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES...

Page 1: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 1 of 103

ABOVE BEYOND HOMECARE

ALL WAYS CARING HOMECARE AIKEN

BELIEVE HOME CARE SERVICES LLC

BEYOND HOMECARE SERVICES

COMFORT KEEPERS #429 OF NORTH AUGUSTA

CORPORATE CARE LLC-AIKEN

CRITICAL NURSE STAFFING

910 TODD AVE

261 ARBOR TERRACE

1469 AUGUSTA RD

528 EDGEFIELD RD STE B2

511 WEST AVE

655 SILVER BLUFF RD STE B

237 BARNWELL NW

NORTH AUGUSTA, SC 29841 FACILITY #:803-221-6832

AIKEN, SC 29801 FACILITY #:803-641-8147

WARRENVILLE, SC 29851 FACILITY #:803-392-7018

BELVEDERE, SC 29841 FACILITY #:803-221-7556

NORTH AUGUSTA, SC 29841-3708 FACILITY #:803-279-7100

AIKEN, SC 29803 FACILITY #:864-335-3266

AIKEN, SC 29801 FACILITY #:803-716-8100

DOBBS COREY L PH#: 803-221-6832

DENT SMITH LAURIE PH#: 803-641-8147

PH#:

HILL BRANDICE PH#: 803-221-7556

PH#:

PH#:

ST JOHN BERNADETTE PH#: 803-716-8100

IHCP-0982 / 01/31/2021

IHCP-0011 / 05/31/2021

IHCP-0340 / 08/31/2020

IHCP-0614 / 09/30/2020

IHCP-0080 / 03/31/2021

IHCP-0317 / 08/31/2020

IHCP-0820 / 10/31/2020

Aiken / Sole Proprietorship

Aiken / Corporation

Aiken / Limited Liability

Aiken / Sole Proprietorship

Aiken / Corporation

Aiken / Limited Liability

Aiken / Limited Liability

PO BOX 8

528 EDGEFIELD RD STE B2

511 WEST AVE

PO BOX 16148

GRANITEVILLE, SC 29829

BELVEDERE, SC 29841

NORTH AUGUSTA, SC 29841-3708

GREENVILLE, SC 29606-7148

COREY L DOBBS

SOUTHERN HOME CARE SERVICES INC

BELIEVE HOME HEALTH CARE LLC

BEYOND HOMECARE SERVICES

TIGA INC

CORPORATE CARE LLC

CRITICAL NURSE STAFFING LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 2: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 2 of 103

DAYBREAK ADULT CARE SERVICES (AIKEN)

EXTRAORDINARY SERVICES

GEORGIA-LINA CARE MANAGEMENT

GOLDEN FRIENDS

HELP AT HOME LLC (AIKEN)

NUCLEAR CARE PARTNERS

PRECIOUS ANGELS HOME CARE

1028 HAYNE AVE SW

231 BARNWELL AVENUE NW STE D

120 FLOYD AVE

873 PATHFINDER LN

942 MILLBROOK AVE STE 1

908-A PAWNEE ST

528 EDGEFIELD RD STE H1

AIKEN, SC 29801-3730 FACILITY #:803-226-0288

AIKEN, SC 29801 FACILITY #:803-226-0420

NORTH AUGUSTA, SC 29841 FACILITY #:803-426-8071

AIKEN, SC 29803 FACILITY #:803-439-8688

AIKEN, SC 29803-0609 FACILITY #:803-649-0922

AIKEN, SC 29803 FACILITY #:803-262-4205

BELVEDERE, SC 29841 FACILITY #:864-323-7511

MATTHEWS CHRISTINE M PH#: 803-226-0288

JONES SHIKITA PH#:

PH#:

PH#:

ADAMS VANESSA PH#: 803-649-0922

GOFF KATIE PH#: 803-634-4350

MOORE SHATORI PH#: 803-643-9224

IHCP-0253 / 07/31/2020

IHCP-1131 / 01/31/2021

IHCP-1007 / 03/31/2021

IHCP-0749 / 08/31/2020

IHCP-0588 / 06/30/2021

IHCP-0976 / 01/31/2021

IHCP-1236 / 06/30/2021

Aiken / Limited Liability Company (single member)

Aiken / Limited Liability

Aiken / Limited Liability

Aiken / Sole Proprietorship

Aiken / Limited Liability

Aiken / Limited Liability

Aiken /

1028 HAYNE AVE SW

1006 BYRNES RD SW

AIKEN, SC 29801-3730

AIKEN, SC 29803

CCHM LLC

EXTRAORDINARY SERVICES LLC

GEORGIA-LINA CARE MANAGEMENT LLC

GOMEZ BEVERLY

HELP AT HOME LLC

NUCLEAR CARE PARTNERS LLC

PRECIOUS ANGELS HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

[email protected]

Page 3: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 3 of 103

PROFESSIONAL CASE MANAGEMENT OF SC

RIGHT AT HOME

TREASURED HEARTS HOME CARE SERVICES

UNITED ENERGY WORKERS HEALTHCARE CORP

NEW LIFE CARE SERVICE

ALL WAYS CARING HOMECARE ANDERSON

ALLIANCE HOMECARE

6330 WOODSIDE EXECUTIVE CT

802 E MARTINTOWN RD #22

310 EDGEFIELD RD

160 WATERLOO ST SW

5001 ALLENDALE FAIRFAX HWY

1103 N FANT ST

100 NORTHWEST DR STE 92

AIKEN, SC 29803 FACILITY #:803-514-5411

NORTH AUGUSTA, SC 29841 FACILITY #:803-278-0250

NORTH AUGUSTA, SC 29841 FACILITY #:803-343-9132

AIKEN, SC 29801-3763 FACILITY #:803-226-0515

ALLENDALE, SC 29810 FACILITY #:803-573-7055

ANDERSON, SC 29621-2037 FACILITY #:864-224-9121

ANDERSON, SC 29625 FACILITY #:864-760-0534

BERRY DONNA E PH#: 803-643-1701

PH#:

PH#:

PH#:

PH#:

DENT SMITH LAURIE PH#: 706-726-4975

LEE CHASTITY PH#: 864-276-1728

IHCP-0977 / 02/28/2021

IHCP-0702 / 04/30/2021

IHCP-0710 / 04/30/2021

IHCP-1064 / 09/30/2020

IHCP-0896 / 11/30/2020

IHCP-0012 / 06/30/2021

IHCP-1011 / 03/31/2021

Aiken / Limited Liability

Aiken / Charitable

Aiken / Limited Liability

Aiken / Corporation

Allendale / Limited Liability

Anderson / Corporation

Anderson / Limited Liability

802 E MARTINTOWN RD STE 22

310 EDGEFIELD RD

1103 FANT ST

NORTH AUGUSTA, SC 29841

NORTH AUGUSTA, SC 29841

ANDERSON, SC 29621

PROFESSIONAL CASE MANAGEMENT OF SC LLC

CSRA CARE GROUP INC

TREASURED HEARTS HOME CARE SERVICES LLC

UNITED ENERGY WORKERS HEALTHCARE CORP

NEW LIFE CARE SERVICE LLC

SOUTHERN HOME CARE SERVICES INC

ALLIANCE HOMECARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 4: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 4 of 103

ALWAYS YOUR CHOICE IN-HOME CARE

ASSURANCE HEALTHCARE SERVICES LLC

BEYOND CARE HOME CARE SERVICES LLC - HONEA PATH

C 3 ELDERCARE

CARING HANDS HOME CARE OF THE UPSTATE INC

COMFORCARE HOME CARE

COMFORT KEEPERS - ANDERSON

110 MONTGOMERY DR STE B

802 N MAIN ST

512-A E GREER ST

107 N MAIN ST

1405-A PEARMAN DAIRY RD STE B

3401 HWY 153 STE A3

402 E GREENVILLE ST

ANDERSON, SC 29621 FACILITY #:864-844-9550

ANDERSON, SC 29621-5525 FACILITY #:864-356-2799

HONEA PATH, SC 29654 FACILITY #:864-369-0222

ANDERSON, SC 29621 FACILITY #:864-934-5600

ANDERSON, SC 29625 FACILITY #:864-224-6953

PIEDMONT, SC 29673 FACILITY #:864-269-5005

ANDERSON, SC 29621-5536 FACILITY #:864-760-1900

PH#:

PH#:

PH#:

GARRETT STEPHANIE PH#: 864-934-5600

PH#:

GANT RON PH#: 803-509-8395

PH#:

IHCP-0855 / 04/30/2021

IHCP-0512 / 03/31/2021

IHCP-0107 / 04/30/2021

IHCP-0214 / 07/31/2020

IHCP-0210 / 06/30/2021

IHCP-1224 / 03/31/2021

IHCP-0146 / 05/31/2021

Anderson / Limited Liability

Anderson / Limited Liability

Anderson /

Anderson / Corporation

Anderson / Corporation

Anderson / Limited Liability

Anderson / Limited Liability

802 N MAIN ST

512-A E GREER ST

107 N MAIN ST

1405-A PEARMAN DAIRY RD STE B

402 E GREENVILLE ST

ANDERSON, SC 29621-5525

HONEA PATH, SC 29654

ANDERSON, SC 29621

ANDERSON, SC 29625

ANDERSON, SC 29621-5536

ALWAYS YOUR CHOICE IN-HOME CARE LLC

ASSURANCE HEALTHCARE SERVICES LLC

BEYOND CARE LLC

C3 ELDERCARE A SUBSIDIARY OF CONSOLIDATED SOUTHERN INDUSTRIES

CARING HANDS HOME CARE OF THE UPSTATE INC

GOODWILL CARE SERVICES LLC

JOE AND MELISA LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 5: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 5 of 103

CORPORATE CARE LLC-ANDERSON

GARDEN OF PRAYER HOME CARE SERVICES

HATTIE'S HEALING HANDS HOME CARE LLC

HOME BY CHOICE-FIRST UP INC

HOME INSTEAD SENIOR CARE - ANDERSON

LEGACY SENIOR HOME CARE LLC

LOVING HANDS HOME CARE SERVICES

1212 N MAIN ST

14 HALTER DR STE C

102 MATTISON ST

4152 CLEMSON BLVD STE C

716 E GREENVILLE ST

121 ZIPPO PINE DR

2318 N MAIN ST

ANDERSON, SC 29624 FACILITY #:864-261-8488

PIEDMONT, SC 29673 FACILITY #:864-263-3609

WILLIAMSTON, SC 29697 FACILITY #:864-367-4134

ANDERSON, SC 29621 FACILITY #:864-224-4907

ANDERSON, SC 29621-4837 FACILITY #:864-642-6780

WILLIAMSTON, SC 29697 FACILITY #:864-314-6047

ANDERSON, SC 29621-3876 FACILITY #:864-540-8888

PH#:

PEA LISA M PH#: 864-567-1144

GAMBRELL HATTIE PH#: 864-395-5352

VERA DIANA PH#:

PH#:

PH#:

PH#:

IHCP-0277 / 08/31/2020

IHCP-0847 / 06/30/2021

IHCP-1175 / 06/30/2021

IHCP-0209 / 06/30/2020 (Renewal Pending)

IHCP-0043 / 01/31/2021

IHCP-1197 / 06/30/2021

IHCP-0828 / 03/31/2021

Anderson / Limited Liability

Anderson / Limited Liability

Anderson / Limited Liability

Anderson / Corporation

Anderson / Corporation

Anderson / Limited Liability

Anderson / Limited Liability

PO BOX 16148

1405-A PEARMAN DAIRY RD STE A

716 E GREENVILLE ST

2318 N MAIN ST

GREENVILLE, SC 29606-7148

ANDERSON, SC 29625

ANDERSON, SC 29621-4837

ANDERSON, SC 29621-3876

CORPORATE CARE LLC

GARDEN OF PRAYER HOME CARE SERVICES LLC

HATTIE'S HEALING HANDS HOME CARE LLC

HOME BY CHOICE INC

UPSTATE TARHEELS INC

LEGACY SENIOR HOME CARE LLC

LOVING HANDS HOME CARE SERVICES LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 6: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 6 of 103

MAINSTREAM REHABILITATIVE SERVICES LLC

NO PLACE LIKE HOME OF SOUTH CAROLINA - ANDERSON

SC HOMECARE SOLUTIONS

SENIOR SOLUTIONS - IN HOME CARE

SENIORS HELPERS - ANDERSON

UPSTATE HEALTHCARE SERVICES

WELL CARE AT HOME LLC

4124 CLEMSON BLVD STE D

211 E CALHOUN ST

1214 N MAIN ST STE C

3420 CLEMSON BLVD STE 17

4122 CLEMSON BLVD STE 3G

212 E GREENVILLE ST

105 ANDERSON AVE

ANDERSON, SC 29621-1169 FACILITY #:864-202-0161

ANDERSON, SC 29621-5542 FACILITY #:864-224-3430

ANDERSON, SC 29621 FACILITY #:864-367-0330

ANDERSON, SC 29621-1324 FACILITY #:864-225-3370

ANDERSON, SC 29621 FACILITY #:864-844-9151

ANDERSON, SC 29621-5509 FACILITY #:864-209-8245

ANDERSON, SC 29621 FACILITY #:864-540-8005

PH#:

PH#:

OSBORNE MACIE PH#:

PH#:

PH#:

PH#:

LEE CHASTITY PH#: 864-540-8005

IHCP-0255 / 11/30/2020

IHCP-0246 / 07/31/2020

IHCP-1039 / 05/31/2021

IHCP-0444 / 09/30/2020

IHCP-0166 / 05/31/2021

IHCP-0149 / 05/31/2021

IHCP-0329 / 12/31/2020

Anderson / Limited Liability

Anderson / Corporation

Anderson / Limited Liability

Anderson / Corporation

Anderson / Limited Liability

Anderson /

Anderson / Limited Liability

206 LAKEFOREST RD

1172 OLD SALEM RD

3420 CLEMSON BLVD STE 17

2435 E NORTH ST # 165

212 E GREENVILLE ST

1209-B N FANT ST STE A

GREENWOOD, SC 29649

CONYERS, GA 30094-5944

ANDERSON, SC 29621-1324

GREENVILLE, SC 29615-1491

ANDERSON, SC 29621-5509

ANDERSON, SC 29621

MAINSTREAM REHABILITATIVE SERVICES LLC

NO PLACE LIKE HOME OF SOUTH CAROLINA INC

SC HOMECARE SOLUTIONS LLC

SENIOR SOLUTIONS

MARIE ANTHONY COMPANY LLC

UPSTATE MEDICAL STAFFING INC

WELL CARE AT HOME LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 7: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 7 of 103

WIZE CHOICE

MIDDLE PLACE LEARNING AND INFORMATION STATION INC

JUST FOR YOU HOME CARE

ACTI-KARE RESPONSIVE IN-HOME CARE-HILTON HEAD

BRIGHTSTAR CARE LOW COUNTRY

COASTAL TRINITY HOMECARE SOLUTIONS LTD

DAWSON & DAWSON HOMECARE

200 COOPER LANE UNIT B

1949 MIDDLE PL RD

29 ALLEN ST

2 CORPUS CHRISTI PL STE 200

29 PLANTATION PARK DR STE 105

333 BUCK ISLAND ROAD UNIT A

69 ROBERT SMALLS PKWY STE 3F

EASLEY, SC 29642 FACILITY #:864-283-0055

OLAR, SC 29843 FACILITY #:803-368-0038

BARNWELL, SC 29812 FACILITY #:803-621-2565

HILTON HEAD ISLAND, SC 29928 FACILITY #:843-996-1497

BLUFFTON, SC 29910-9010 FACILITY #:843-837-3773

BLUFFTON, SC 29910 FACILITY #:843-815-8288

BEAUFORT, SC 29902 FACILITY #:843-812-0874

PH#:

PH#:

PH#:

BRANCHE NATALIE PH#: 843-683-1513

PH#:

JACKSON KURTIS PH#: 843-815-8288

DAWSON-THOMPSON NAKEISHA PH#: 843-812-0874

IHCP-0947 / 01/31/2021

IHCP-0411 / 11/30/2020

IHCP-0750 / 12/31/2020

IHCP-0837 / 04/30/2021

IHCP-0342 / 11/30/2020

IHCP-1146 / 01/31/2021

IHCP-0993 / 04/30/2021

Anderson / Limited Liability

Bamberg / Corporation

Barnwell / Limited Liability

Beaufort / Limited Liability

Beaufort / Limited Liability

Beaufort / Limited Liability

Beaufort / Limited Liability

1949 MIDDLE PL RD

177 MOORING BUOY

OLAR, SC 29843

HILTON HEAD ISLAND, SC 29928-5287

WIZE CHOICE LLC

MIDDLE PLACE LEARNING AND INFORMATION STATION INC

JUST FOR YOU HOME CARE SERVICES LLC

11:11 ROSE LLC

SS&J ASSOCIATES LLC

TRINITY NATIONAL HEALTHCARE LTD

DAWSON & DAWSON HOMECARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 8: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 8 of 103

EMERSON CARE

GRISWOLD HOME CARE OF LOW COUNTRY

HOME HELPERS OF THE LOWCOUNTRY

INTEGRITY HOME CARE

OMEGA HEALTHCARE SERVICES

RIGHT AT HOME OF BLUFFTON

SENIOR HELPERS HILTON HEAD SC

216 CHINABACK DR

25 BUCHINGHAM PLANTATION DR STE A

14 WESTBURY PARK WAY STE 102

400 MAIN ST STE 200A-2

69 ROBERT SMALL PKWY UNIT 3A

29 PLANTATION PARK DR STE 704

1541 FORDING ISLAND RD STE 2

LADYS ISLAND, SC 29907 FACILITY #:843-694-1201

BLUFFTON, SC 29910 FACILITY #:843-785-6400

BLUFFTON, SC 29910 FACILITY #:843-837-3041

HILTON HEAD ISLAND, SC 29926 FACILITY #:843-681-2110

BEAUFORT, SC 29906 FACILITY #:843-972-3939

BLUFFTON, SC 29910-9003 FACILITY #:843-815-7890

HILTON HEAD ISLAND, SC 29926 FACILITY #:843-815-3333

EMERSON LISA D PH#: 843-694-7894

PH#:

PROPST AMY PH#: 843-837-3041

JOHNSON STEPHANI PH#: 843-683-0123

OKAFOR CRYSTAL U PH#: 919-858-6618

PH#:

PH#:

IHCP-0916 / 01/31/2021

IHCP-0051 / 01/31/2021

IHCP-0034 / 11/30/2020

IHCP-1097 / 08/31/2020

IHCP-0776 / 12/31/2020

IHCP-0026 / 10/31/2020

IHCP-0780 / 10/31/2020

Beaufort /

Beaufort / Limited Liability

Beaufort / Limited Liability

Beaufort / Limited Liability

Beaufort / Limited Liability

Beaufort / Corporation

Beaufort / Corporation

1000 MAIN ST STE 200E

14 WESTBURY PARK WAY STE 102

PO BOX 61306

29 PLANTATION PARK DR STE 704

17 SAW TIMBER DR

HILTON HEAD ISLAND, SC 29926-1695

BLUFFTON, SC 29910

RALEIGH, NC 27661

BLUFFTON, SC 29910-9003

HILTON HEAD ISLAND, SC 29926

EMERSON FAMILY CARE LLC

CAERKILLIAN LLC

M & C GROUP LLC

INTEGRITY HEALTH SERVICES LLC

OMEGA HEALTHCARE SERVICES LLC

RALPH DONALD CORPORATION DBA RIGHT AT HOME

SUSTAINED CARE SERVICES INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 9: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 9 of 103

SERENE HOME CARE

SORINITY SUPPORT SERVICES

SYNERGY HOMECARE OF THE LOWCOUNTRY

VISITING ANGELS BLUFFTON

AN ANGELS TOUCH LLC

ARIES HOME CARE

COMPASSION HEARTS HOME CARE

200 MAIN ST STE 102H

2 CORPUS CHRISTI PL STE 200

301 CENTRAL AVENUE UNIT B

29 PLANTATION PARK DR STE 114

219 N HWY 52 STE J

315 OXFORD RD

320 CICADAS SONG DR

HILTON HEAD ISLAND, SC 29926 FACILITY #:843-298-1556

HILTON HEAD ISLAND, SC 29928 FACILITY #:866-494-4734

HILTON HEAD ISLAND, SC 29926 FACILITY #:917-689-7467

BLUFFTON, SC 29910-9015 FACILITY #:843-757-1002

MONCKS CORNER, SC 29461-3926 FACILITY #:843-291-3355

LADSON, SC 29456 FACILITY #:843-478-5048

MONCKS CORNER, SC 29461 FACILITY #:855-277-8885

GREEN NADESHA PH#: 843-298-1556

PH#:

RISK ROBERT PH#:

BLAKE SYLVIA PH#: 843-757-1002

PETERSON KIMBERLY L PH#: 843-291-3355

PH#:

BROUGHTON AISHA PH#: 843-568-9812

IHCP-1067 / 03/31/2021

IHCP-0818 / 04/30/2019 (Renewal Pending)

IHCP-1140 / 11/30/2020

IHCP-0103 / 04/30/2021

IHCP-0338 / 08/31/2020

IHCP-0902 / 09/30/2019 (Renewal Pending)

IHCP-0654 / 03/31/2021

Beaufort / Limited Liability

Beaufort / Limited Liability

Beaufort / Limited Liability

Beaufort / Limited Liability

Berkeley / Limited Liability

Berkeley / Limited Liability

Berkeley / Limited Liability

2 CORPUS CHRISTI PL STE 200

29 PLANTATION PARK DR STE 114

PO BOX 938

HILTON HEAD ISLAND, SC 29928

BLUFFTON, SC 29910-9015

MONCKS CORNER, SC 29461-0938

SERENE HOME CARE LLC

SORINITY SUPPORT SERVICES LLC

MATCH POINT HILTON HEAD LLC

HHI SENIOR HOME CARE LLC

AN ANGELS TOUCH LLC

ARIES HOME CARE LLC

COMPASSION HEARTS HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

[email protected]

Page 10: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 10 of 103

COMPLETE CARE

DIVINE CARE AT HOME

MECA HOME CARE LLC

UNITY VILLAGE HOMECARE SERVICES

CHARITY HOME CARE SERVICE LLC

FAITHFUL HOMECARE SERVICES

NEW HOPE MINISTRIES IN-HOME SERVICES

204 SUMMER VIEW RD

221 ST JAMES AVE STE 13A

1066 S LIVE OAK DR STE B

132 SLATE STONE DR UNIT A

101 HERLONG AVE

21 ST MATTHEWS RD

130 BIG SHOT LN

SUMMERVILLE, SC 29486 FACILITY #:631-921-5886

GOOSE CREEK, SC 29445 FACILITY #:843-793-2588

MONCKS CORNER, SC 29461 FACILITY #:843-761-1280

SUMMERVILLE, SC 29486 FACILITY #:843-509-8213

SAINT MATTHEWS, SC 29135 FACILITY #:803-874-2188

SAINT MATTHEWS, SC 29135 FACILITY #:803-655-5411

GASTON, SC 29053-8216 FACILITY #:803-926-5279

PH#:

SIMMONS DANA PH#: 843-259-4617

MUNGIN EBONY PH#: 843-494-3986

RILEY VANESSA PH#:

BILLINGSLEA PEARL PH#: 803-874-2188

PH#:

PH#:

IHCP-0400 / 12/31/2020

IHCP-1160 / 01/31/2021

IHCP-1069 / 07/31/2020

IHCP-0989 / 05/31/2021

IHCP-0193 / 06/30/2021

IHCP-0194 / 06/30/2020 (Renewal Pending)

IHCP-0480 / 12/21/2020

Berkeley / Sole Proprietorship

Berkeley / Limited Liability

Berkeley / Limited Liability

Berkeley / Non-Profit Corporation

Calhoun / Limited Liability

Calhoun / Sole Proprietorship

Calhoun / Sole Proprietorship

204 SUMMER VIEW RD

101 HERLONG AVE

21 ST MATTHEWS RD

130 BIG SHOT LN

SUMMERVILLE, SC 29483

SAINT MATTHEWS, SC 29135

SAINT MATTHEWS, SC 29135

GASTON, SC 29053-8216

BAILEY LAURA

DIVINE CARE AT HOME

MECA HOME HEALTH LLC

UNITY VILLAGE MINISTRIES

CHARITY HOME CARE SERVICE LLC

FAITHFUL HOMECARE SERVICES

PRISCILLA WATSON-MILLS

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

Page 11: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 11 of 103

A BETTER CHOICE HOME CARE

ACCESS HEALTH CARE SERVICES OF CHARLESTON

ADDUS HOME CARE - N CHARLESTON

AFFINITY HOME CARE SOLUTIONS LLC

ALL WAYS CARING HOMECARE CHARLESTON

ALREADY HOMECARE - CHARLESTON

ALWAYS BEST CARE CHARLESTON

21 GAMECOCK AVE STE A

2171 ASHLEY PHOSPHATE RD STE C

3294-C ASHLEY PHOSPHATE RD

5600 DORCHESTER ROAD #1201

1124 SAM RITTENBERG BLVD STE 8

1180 SAM RITTENBERG BLVD STE 240

1064 GARDNER RD STE 310

CHARLESTON, SC 29407 FACILITY #:843-884-6456

NORTH CHARLESTON, SC 29406-4156 FACILITY #:843-724-9581

N CHARLESTON, SC 29418 FACILITY #:843-569-0033

NORTH CHARLESTON, SC 29418 FACILITY #:803-378-1998

CHARLESTON, SC 29407-3362 FACILITY #:843-556-1191

CHARLESTON, SC 29407-3388 FACILITY #:843-371-1419

CHARLESTON, SC 29407 FACILITY #:854-222-4023

ROSSINO MATTHEW L PH#: 843-884-6456

SWYGERT MARILYN PH#: 803-506-8206

MCDANIEL CARY PH#: 630-296-3400

MILLER LORIANNE E PH#: 843-459-2094

DENT SMITH LAURIE PH#: 843-556-1191

CAMAREN MICHELLE PH#: 843-371-1419

JOHNSON CHRISTINE W PH#:

IHCP-0061 / 02/28/2021

IHCP-0603 / 08/31/2020

IHCP-0196 / 06/30/2021

IHCP-0985 / 07/31/2020

IHCP-0013 / 05/31/2021

IHCP-0027 / 10/31/2020

IHCP-1048 / 06/30/2020 (Renewal Pending)

Charleston / Ltd. Liability

Charleston / Corporation

Charleston / Corporation

Charleston / Limited Liability

Charleston / Corporation

Charleston / Limited Liability

Charleston / Corporation

1514 MATHIS FERRY RD STE204

2300 WARRENVILLE RD STE 100

1420 ASHLEY RIVER RD

MT PLEASANT, SC 29464

DOWNERS GROVE, IL 60515-1700

CHARLESTON, SC 29407

A BETTER CHOICE HOME CARE LLC

ACCESS HEALTH CARE SERVICES INC

ADDUS HEALTHCARE (SOUTH CAROLINA) INC DBA ADDUS HOME CARE

AFFINITY HOME CARE SOLUTIONS LLC

SOUTHERN HOME CARE SERVICES INC

ALREADY HOMECARE LLC

LAGOM LIVING INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

[email protected]

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 12: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 12 of 103

AMADA SENIOR CARE SC COASTAL

ANGELIC HOME CARE & CONCIERGE SERVICES LLC

ANGELS SITTER SERVICE LLC

ASSURANCE PERSONAL CARE

BENTON HOUSE @ HOME OF WEST ASHLEY

BG CONNECTIONS

BRIGHTSTAR OF CHARLESTON

1156 BOWMAN RD STE 200

4 CARRIAGE LN STE 400-G

1041 WOODSIDE DR

1818 NORWOOD ST

1445 BLUEWATER WAY

1 BISHOP GADSDEN WAY

1064 GARDNER RD STE 301

MOUNT PLEASANT, SC 29464 FACILITY #:843-800-0123

CHARLESTON, SC 29407 FACILITY #:843-801-6906

CHARLESTON, SC 29412-9359 FACILITY #:843-860-0274

NORTH CHARLESTON, SC 29405-8006 FACILITY #:843-747-5798

CHARLESTON, SC 29414 FACILITY #:843-576-9667

CHARLESTON, SC 29412-3577 FACILITY #:843-762-3300

CHARLESTON, SC 29407-5746 FACILITY #:843-300-3008

PH#:

SCOTT JOCOLYN PH#: 843-801-6906

PH#:

PH#:

LYON RICHARD E PH#: 843-576-9667

JAYNE KATIE PH#: 843-762-3300

JAMES CHARLES A PH#: 843-300-3008

IHCP-0695 / 03/31/2021

IHCP-0911 / 08/31/2020

IHCP-0493 / 12/31/2020

IHCP-0358 / 12/31/2020

IHCP-1104 / 08/31/2020

IHCP-0250 / 07/31/2020

IHCP-1075 / 06/30/2020 (Renewal Pending)

Charleston / Limited Liability

Charleston / Sole Proprietorship

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Corporation

Charleston / Limited Liability

1156 BOWMAN RD STE 200

1041 WOODSIDE DR

PO BOX 31774

1 BISHOP GADSDEN WAY

MOUNT PLEASANT, SC 29464

CHARLESTON, SC 29412-9359

CHARLESTON, SC 29417-1774

CHARLESTON, SC 29412-3577

E&L COLONIAL LLC

SCOTT JOCOLYN

ANGELS SITTER SERVICE LLC

ASSURANCE PERSONAL CARE

WEST ASHLEY SLP

BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY

TOWNES HOLDINGS LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

[email protected]

Page 13: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 13 of 103

CARE FOR LIFE INC

CAROLINA HEALTH CARE CHARLESTON

CAROLINA HEALTH FORCE

COMFORCARE HOME CARE-CHARLESTON

COMMONWISE HOME CARE CHARLESTON

CORPORATE CARE LLC CHARLESTON

EXTENDED FAMILY HOME CARE SERVICES LLC

1064 GARDNER RD STE 316

1150 QUEENSBOROUGH BLVD STE E

3527 MARY ADER AVE

3 DANIEL ST

4 KENILWORTH AVE

3620 ASHLEY PHOSPHATE RD STE 18

3800 RIVERS AVE- STE A

CHARLESTON, SC 29407 FACILITY #:843-852-9090

MOUNT PLEASANT, SC 29464 FACILITY #:843-849-5454

CHARLESTON, SC 29414 FACILITY #:843-556-2784

CHARLESTON, SC 29407-7303 FACILITY #:843-225-2067

CHARLESTON, SC 29403 FACILITY #:843-779-9593

NORTH CHARLESTON, SC 29418 FACILITY #:843-793-4253

N CHARLESTON, SC 29405 FACILITY #:843-608-9048

JANSE SHEENA M PH#: 843-852-9090

FLOYD SUSAN PH#: 843-849-5454

PH#:

PH#:

EVANS KATHERINE F PH#: 804-814-1588

PH#:

PH#:

IHCP-0039 / 12/31/2020

IHCP-0919 / 07/31/2020

IHCP-1152 / 12/31/2020

IHCP-0282 / 07/31/2020

IHCP-0757 / 10/31/2020

IHCP-0275 / 08/31/2020

IHCP-1165 / 01/31/2021

Charleston / Corporation

Charleston / Limited Liability

Charleston / Sole Proprietorship

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Limited Liability

1064 GARDNER RD STE 316

3623 OLD CHARLESTON RD STE 14

PO BOX 16148

CHARLESTON, SC 29407

JOHNS ISLAND, SC 29455-3209

GREENVILLE, SC 29606-7148

CARE FOR LIFE INC

OHANA HEALTH CHARLESTON LLC

MUMFORD INC

TUPELO POND LLC

COMMONWISE HOMECARE LLC

CORPORATE CARE LLC

EXTENDED FAMILY HOME CARE SERVICES LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

Page 14: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 14 of 103

FIRSTLIGHT HOME CARE OF CHARLESTON

HEALING HANDS COMPANIONS

HEAVENLY HEART HOME CARE LLC

HOME CARE ASSISTANCE OF THE LOW COUNTRY

HOME CARE PLUS LLC

HOME INSTEAD SENIOR CARE OF CHARLESTON

HUNT FAMILY HOME CARE

887 JOHNNIE DODDS BLVD STE 231

6650 RIVERS AVE

3262 LANDMARK DR STE 100

1662 SAVANNAH HWY STE 225

2040 EWALL ST STE D

11 GAMECOCK AVE STE 1105

4 CARRIAGE LN STE 205

MOUNT PLEASANT, SC 29464 FACILITY #:843-212-2813

NORTH CHARLESTON, SC 29406 FACILITY #:843-576-1446

NORTH CHARLESTON, SC 29418 FACILITY #:843-371-4728

CHARLESTON, SC 29407 FACILITY #:864-247-0234

MOUNT PLEASANT, SC 29464 FACILITY #:843-628-3642

CHARLESTON, SC 29407 FACILITY #:843-571-3000

CHARLESTON, SC 29407 FACILITY #:843-553-6060

RECUPERO JAMIE L PH#: 843-651-2273

PH#:

SMITH TAMMY L PH#: 843-371-4728

DESMARTEAU ASHLEY PH#: 864-247-0234

GAIDUSEK LINDA PH#: 843-628-3642

TAYLOR KENZIE PH#: 843-571-3000

HUNT JEANETTE PH#:

IHCP-0845 / 03/31/2021

IHCP-0704 / 05/31/2021

IHCP-0987 / 12/31/2020

IHCP-0737 / 05/31/2021

IHCP-0337 / 08/31/2020

IHCP-0033 / 11/30/2020

IHCP-1022 / 02/28/2021

Charleston / Corporation

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Ltd. Liability

Charleston / Limited Liability

6650 RIVERS AVE

1255 OAKMEAD PKWY

2040 EWALL ST STE D

29 GAMECOCK AVE STE 101

NORTH CHARLESTON, SC 29406

SUNNYVALE, CA 94085

MOUNT PLEASANT, SC 29464

CHARLESTON, SC 29407

SOLOMON INTERNATIONAL

HEALING HANDS COMPANIONS LLC

HEAVENLY HEART HOME CARE LLC

HOME CARE ASSISTANCE CHARLESTON LLC

HOME CARE PLUS LLC

COMPANION MANAGEMENT LLC

HUNT FAMILY HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Page 15: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 15 of 103

INTERIM HEALTHCARE-CHARLESTON

LEGACY HOME CARE

LOW COUNTRY BE WELL HOME SERVICES

LOWCOUNTRY CAREGIVERS

LOWCOUNTRY COMPANIONS LLC

LUVLY ANGELS

MANDALA HEALTH

4995 LACROSS RD STE 1300

3618 ASHLEY PHOSPHATE RD STE 13

1885 RIFLE RANGE RD

1446 EUTAW BATTALION DR

887 JOHNNIE DODDS BLVD STE 217

1525 SAM RITTENBURG BLVD STE 205

1 WALL ST

NORTH CHARLESTON, SC 29406 FACILITY #:843-569-5510

NORTH CHARLESTON, SC 29420 FACILITY #:843-345-2380

MOUNT PLEASANT, SC 29464-9440 FACILITY #:843-377-4663

CHARLESTON, SC 29412 FACILITY #:843-566-6741

MOUNT PLEASANT, SC 29464 FACILITY #:843-856-2582

CHARLESTON, SC 29407 FACILITY #:843-852-4568

CHARLESTON, SC 29401-1539 FACILITY #:760-419-0534

PH#:

PH#:

HENRICH CONSTANCE M PH#: 803-643-4203

FINGAR JOHN WALTER PH#: 843-566-6741

WELLS NATALIA PH#: 843-856-2582

PH#:

PH#:

IHCP-0082 / 03/31/2021

IHCP-1207 / 04/30/2021

IHCP-1040 / 06/30/2021

IHCP-1071 / 07/31/2020

IHCP-0870 / 04/30/2020 (Renewal Pending)

IHCP-0718 / 04/30/2021

IHCP-0296 / 02/28/2021

Charleston / Limited Liability

Charleston /

Charleston / Corporation

Charleston / Limited Liability

Charleston / Sole Proprietorship

Charleston / Limited Liability

Charleston / Limited Liability

3870 LEEDS AVE STE 104

1 WALL ST

NORTH CHARLESTON, SC 29405-7493

CHARLESTON, SC 29401-1539

LOWCOUNTRY NURSING GROUP LLC

LEGACY HOME CARE LLC

LUTHERAN HOMES OF SOUTH CAROLINA INC

LOWCOUNTRY CAREGIVERS LLC

WELLS NATALIA

LUVLY ANGELS LLC

MANDALA HEALTH LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 16: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 16 of 103

MURCO ELDERCARE

PALMETTO CARE SERVICES OF SC

PALMETTO FAMILY HOMECARE LLC

RIGHT AT HOME - CHARLESTON

ROBERTS IN-HOME CARE

S FAMILY HOMECARE

SAFE KEEPING HEALTHCARE

1590 W ROBINHOOD DR

2178 B UNIT 4 SAVANNAH HWY

5900 CORE RD STE 104

884 JOHNNIE DODDS BLVD STE 202

3605 MEETING STREET RD STE B1

4000 FABER PL

2850 ASHLEY PHOSPHATE RD STE J

CHARLESTON, SC 29407-5827 FACILITY #:843-814-0321

CHARLESTON, SC 29414 FACILITY #:803-297-5179

NORTH CHARLESTON, SC 29406 FACILITY #:843-225-5420

MOUNT PLEASANT, SC 29464 FACILITY #:843-580-5120

NORTH CHARLESTON, SC 29405-8095 FACILITY #:843-552-8165

NORTH CHARLESTON, SC 29405 FACILITY #:843-804-5928

NORTH CHARLESTON, SC 29420 FACILITY #:843-751-0424

PH#:

PH#:

PH#:

PH#:

PH#:

PALMER ALFRICIA PH#: 843-804-5928

SHAW CASANDRA PH#:

IHCP-0963 / 03/31/2021

IHCP-1228 / 06/30/2021

IHCP-0060 / 02/28/2021

IHCP-0106 / 04/30/2021

IHCP-0240 / 07/31/2021

IHCP-1134 / 04/30/2021

IHCP-1042 / 06/30/2020 (Renewal Pending)

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Limited Liability

4000 FABER PL DR STE 300

658 RUTLEDGE AVE STE B

3605 MEETING STREET RD

NORTH CHARLESTON, SC 29405-8587

CHARLESTON, SC 29403-4147

NORTH CHARLESTON, SC 29418

MURCO ELDERCARE LLC

PALMETTO CARE SERVICES OF SC LLC

PALMETTO FAMILY HOMECARE LLC

CHARLESTON HOME HEALTH CARE LLC

ROBERTS IN-HOME NURSING SERVICES LLC

SUPREME FAMILY HOMECARE

SAFE KEEPING HEALTHCARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 17: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 17 of 103

SEA ISLAND COMPREHENSIVE HEALTHCARE

SEASONS CONCIERGE CARE MOUNT PLEASANT SC

SENIOR HELPERS - CHARLESTON

SIMPLY SENIORS

TORI SENIOR HOME CARE

VISITING ANGELS

WE CARE HOME CARE LLC

3627 MAYBANK HWY

2782 SEASTRAND LN

359 WANDO PL DR STE B

1455 BLUE CASCADE DR

5037 GOVAN RD

1041 JOHNNIE DODDS BLVD STE 4C

7301 RIVERS AVE #190

JOHNS ISLAND, SC 29455 FACILITY #:843-302-8964

MOUNT PLEASANT, SC 29466 FACILITY #:843-597-1430

MOUNT PLEASANT, SC 29464 FACILITY #:843-628-3486

MOUNT PLEASANT, SC 29464 FACILITY #:864-809-4861

HOLLYWOOD, SC 29449 FACILITY #:843-906-0168

MOUNT PLEASANT, SC 29464-6156 FACILITY #:843-884-2828

NORTH CHARLESTON, SC 29406 FACILITY #:843-789-3003

BURTON LEON L PH#:

HOOD MELISSA PH#: 843-597-1430

PH#:

PH#:

MITCHELL ERIKA PH#: 843-906-0168

HICKS ALEX PH#: 843-884-2828

NORMAN JAMES PH#: 843-789-3003

IHCP-0638 / 11/30/2020

IHCP-0895 / 09/30/2020

IHCP-0784 / 11/30/2020

IHCP-0907 / 09/30/2020

IHCP-0853 / 04/30/2021

IHCP-0629 / 07/31/2020

IHCP-0333 / 02/28/2021

Charleston / Corporation

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Corporation

Charleston / Limited Liability

Charleston / Limited Liability

Charleston / Limited Liability

3627 MAYBANK HWY

11 BEACHWOOD W

1041 JOHNNIE DODDS BLVD STE 4C

7301 RIVERS AVE #190

JOHNS ISLAND, SC 29455

ISLE OF PALMS, SC 29451

MOUNT PLEASANT, SC 29464-6156

NORTH CHARLESTON, SC 29406

SEA ISLAND COMPREHENSIVE HEALTHCARE CORPORATION

SEASONS CONCIERGE CARE LLC

LOW COUNTRY ELDER CARE LLC

SIMPLY SENIORS INC

TORI SENIOR HOME CARE LLC

GENUINE HOME CARE LLC

WE CARE HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 18: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 18 of 103

ANGELIC HOMECARE

HEAVEN SENT CAREGIVERS

SUPREME MANAGEMENT AND ASSOCIATES

LARCARE LLC

ST PHILLIPS BAPTIST CHURCH DBA CARING HEARTS

CARE WITH INTEGRITY

EVERLASTING ARMS HOME CARE

140 4TH AVE

1622 N LIMESTONE ST

107 1/2 W CHEROKEE ST

119 HAMILTON ST

1867 OLD RICHBURG RD

464 MCLAIN ST

488 BAILEY SAWMILL RD

GAFFNEY, SC 29340 FACILITY #:864-489-1288

GAFFNEY, SC 29340-3123 FACILITY #:864-489-2633

BLACKSBURG, SC 29702 FACILITY #:864-492-3400

CHESTER, SC 29706 FACILITY #:803-209-0596

CHESTER, SC 29706 FACILITY #:803-789-3051

PATRICK, SC 29584 FACILITY #:843-498-7134

RUBY, SC 29741 FACILITY #:843-634-7080

SMITH CATRINA PH#: 864-489-1288

PH#:

PH#:

PH#:

WILLIAMS TIMOTHY PH#: 803-493-1556

BURDEN TAMMIE PH#:

PH#:

IHCP-0074 / 03/31/2021

IHCP-0375 / 09/30/2020

IHCP-0909 / 10/31/2020

IHCP-1186 / 02/28/2021

IHCP-0611 / 09/30/2020

IHCP-0692 / 04/30/2020 (Renewal Pending)

IHCP-0527 / 04/30/2021

Cherokee / Limited Liability

Cherokee / Sole Proprietorship

Cherokee / Limited Liability

Chester / Limited Liability

Chester / Sole Proprietorship

Chesterfield / Sole Proprietorship

Chesterfield / Limited Liability

140 4TH AVE

113 W BIRNIE ST

PO BOX 35

PO BOX 855

GAFFNEY, SC 29340

GAFFNEY, SC 29340-3123

HARTSVILLE, SC 29550

CHESTERFIELD, SC 29709

ANGELIC SERVICES INC

DORSHEKA JOHNSON

SUPREME MANAGEMENT AND ASSOCIATES LLC

LARCARE LLC

WILLIAMS DEANDRA

GRANT TEMICHA ROSHELL

EVERLASTING ARMS HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 19: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 19 of 103

SUPREME HOME CARE INC

TRI-COUNTY ADULT IN-HOME CARE

HANDS OF GRACE HEALTH CARE

HAVE FAITH CARES LLC

HEAVENLY WORKERS IN HOME CARE

LEAN ON ME

NEW HOPE HOME CARE LLC

233 2ND ST

169 CALVARY LN

214-C W BOYCE ST

1144 BLOOMSVILLE RD

132 MAIN ST

27 S MILL ST

232 COMMERCE ST

CHERAW, SC 29520 FACILITY #:843-865-7070

CHERAW, SC 29520-7106 FACILITY #:843-921-9451

MANNING, SC 29102 FACILITY #:803-433-0400

MANNING, SC 29102 FACILITY #:803-435-8402

SUMMERTON, SC 29148 FACILITY #:803-473-4852

MANNING, SC 29102-3167 FACILITY #:803-435-4008

MANNING, SC 29102 FACILITY #:803-433-1777

PH#:

PH#:

TINDAL CAROL PH#: 803-566-9783

JOHNSON DIANE N PH#: 803-435-8402

FRANKLIN WENDY PH#:

PH#:

PH#:

IHCP-0451 / 09/30/2020

IHCP-0189 / 06/30/2021

IHCP-0882 / 07/31/2020

IHCP-0522 / 04/30/2021

IHCP-1068 / 07/31/2020

IHCP-0133 / 04/30/2021

IHCP-0312 / 08/31/2020

Chesterfield / Corporation

Chesterfield / Corporation

Clarendon / Limited Liability

Clarendon / Limited Liability

Clarendon / Limited Liability

Clarendon / Limited Liability

Clarendon / Limited Liability

233 2ND ST

PO BOX 186

1144 BLOOMSVILLE RD

27 S MILL ST

232 COMMERCE ST

CHERAW, SC 29520

CHERAW, SC 29520-0186

MANNING, SC 29102

MANNING, SC 29102-3167

MANNING, SC 29102

SUPREME HOME CARE INC

TRI-COUNTY ADULT DAY SERVICES INC

HANDS OF GRACE HEALTH CARE LLC

HAVE FAITH CARES LLC

HEAVENLY WORKERS IN HOME CARE LLC

ATC HOME CARE SERVICES LLC

NEW HOPE HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 20: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 20 of 103

PROFESSIONAL CARE OF MANNING

BUCKNER IN HOME CARE LTD CO

JENKINS HOME CARE

PRIORITY HOME CARE LLC

BETHEA BAPTIST RETIREMENT COMMUNITY

COMFORTING HEARTS HOME CARE

DARLINGTON COUNTY COUNCIL ON AGING

203 E BOYCE ST

320 ROBERTSON BLVD

607 GEECHIE CLUB LN

1104 N JEFFERIES BLVD

157 HOME AVE

44 PUBLIC SQUARE #101

402 PEARL ST

MANNING, SC 29102-3005 FACILITY #:803-435-4301

WALTERBORO, SC 29488 FACILITY #:803-998-7665

COTTAGEVILLE, SC 29435 FACILITY #:843-530-7594

WALTERBORO, SC 29488 FACILITY #:843-782-5550

DARLINGTON, SC 29532-7625 FACILITY #:843-393-2867

DARLINGTON, SC 29532 FACILITY #:843-970-3990

DARLINGTON, SC 29532 FACILITY #:843-393-8521

PH#:

BUCKNER TEMEKA PH#: 803-998-7665

JENKINS KYONG PH#: 843-530-7594

SMALLS VALERIE PH#: 803-942-6902

PH#:

PH#:

ANDERSON JACKIE G PH#: 843-393-8521

IHCP-0957 / 12/31/2020

IHCP-0931 / 09/30/2020

IHCP-1043 / 06/30/2021

IHCP-0104 / 04/30/2021

IHCP-0042 / 12/31/2020

IHCP-0803 / 01/31/2021

IHCP-0573 / 01/31/2021

Clarendon / Sole Proprietorship

Colleton / Limited Liability

Colleton / Limited Liability

Colleton / Limited Liability

Darlington / Non-Profit Corporation

Darlington / Limited Liability

Darlington / Corporation

PO BOX 742

157 HOME AVE

402 PEARL ST

HAMPTON, SC 29924-0742

DARLINGTON, SC 29532-7625

DARLINGTON, SC 29532

PROFESSIONAL CARE OF MANNING LLC

BUCKNER IN HOME CARE LTD CO

JENKINS HOME CARE LLC

PRIORITY HOME CARE LLC

SOUTH CAROLINA BAPTIST MINISTRIES FOR THE AGING INC

COMFORTING HEARTS HOME CARE LLC

DARLINGTON COUNTY COUNCIL ON AGING

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 21: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 21 of 103

EXTRAORDINARY HOME CARE LLC

GENTLE CARE HOME CARE

NURSES ON CALL

OMNIPRESENT HOME CARE SERVICES

PEOPLE UNITED IN HOME CARE

PRESTIGE HOME SUPPORT

TENDER HEARTS HOME CARE

119 PEARL ST

212 ASBURY ST

2065 E BOBO NEWSOM HWY

696 DAVIS ST

3425 TERPIN RD

1922 E MCIVER RD

546 W BOBO NEWSOM HWY STE 2

DARLINGTON, SC 29532 FACILITY #:843-206-1527

DARLINGTON, SC 29532-1826 FACILITY #:843-395-5800

HARTSVILLE, SC 29550-7217 FACILITY #:843-383-8921

LAMAR, SC 29069-9132 FACILITY #:843-326-5042

SOCIETY HILL, SC 29593 FACILITY #:843-621-4680

FLORENCE, SC 29501-9640 FACILITY #:843-669-4664

HARTSVILLE, SC 29550 FACILITY #:843-878-9858

CHAPMAN SHAWN D PH#: 843-206-1527

SAVAGE LEANDRIA PH#: 843-395-5800

PH#:

PH#:

BISHOP ANDREA PH#: 843-621-4680

GRAHAM ALMEDA M PH#: 843-669-4664

PH#:

IHCP-1173 / 03/31/2021

IHCP-0609 / 10/31/2020

IHCP-0087 / 03/31/2021

IHCP-0298 / 04/03/2021

IHCP-1070 / 06/30/2020 (Renewal Pending)

IHCP-0974 / 03/31/2021

IHCP-0999 / 02/28/2021

Darlington / Limited Liability

Darlington / Limited Liability

Darlington / Sole Proprietorship

Darlington / Corporation

Darlington / Sole Proprietorship

Darlington / Sole Proprietorship

Darlington / Limited Liability

PO BOX 1237

PO BOX 1064

DARLINGTON, SC 29540-1237

LAMAR, SC 29069-1064

EXTRAORDINARY HOME CARE LLC

GENTLE CARE ADULT DAY HEALTH SERVICES LLC

NOC HOME CARE LLC

WES CORPORATION INC

PEOPLE UNITED IN HOME HEALTH CARE

ALMEDA GRAHAM

TENDER HEARTS HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 22: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 22 of 103

AJM HOMECARE SERVICES

BB&J CARE SERVICES

CAROLINA MEDSTAFF & SERVICES

LILIES OF HOPE HOME CARE

LIVING WELL FAMILY CARE

PEE DEE HEALTH CARE INC

ALLCARE LIVING SERVICES INC

207 W MAIN ST

300 W CALHOUN ST STE C

1005 OLD LATTA HWY

103 N RAILROAD ST

104 E HARRISON ST

801 HWY 301 N UNIT A

107 W 6TH NORTH ST STE 208

DILLON, SC 29536-3428 FACILITY #:843-627-3482

DILLON, SC 29536 FACILITY #:843-627-3021

DILLON, SC 29536 FACILITY #:843-506-1893

DILLON, SC 29536 FACILITY #:910-674-2244

DILLON, SC 29536 FACILITY #:843-506-8826

DILLON, SC 29536 FACILITY #:843-774-6695

SUMMERVILLE, SC 29483 FACILITY #:843-832-9888

WYNN SONGIA PH#: 843-774-3025

ALLEN JR JOHNNY L PH#: 843-615-0989

DAWKINS DETRICE PH#: 843-506-1893

PH#:

QUICK CAROLYN PH#:

PH#:

PH#:

IHCP-0114 / 04/30/2021

IHCP-0822 / 01/31/2021

IHCP-0235 / 07/31/2020

IHCP-0699 / 03/31/2021

IHCP-0995 / 02/28/2021

IHCP-0980 / 12/31/2020

IHCP-0242 / 07/31/2020

Dillon / Limited Liability

Dillon / Sole Proprietorship

Dillon / Limited Liability

Dillon / Limited Liability

Dillon / Corporation

Dillon / Corporation

Dorchester / Corporation

902 WEST ST

106 S RAILROAD AVE

PO BOX 647

107 W 6TH NORTH ST STE 208

DILLON, SC 29536-3953

DILLON, SC 29536

DILLON, SC 29536

SUMMERVILLE, SC 29483-7847

AJM HOMECARE SERVICES

ALLEN JR JOHNNY LEE

ANTA MARIE DETRICE DAWKINS

LILIES OF HOPE HOME CARE OF SOUTH CAROLINA LLC

LIVING WELL FAMILY CARE INC

PEE DEE HOME HEALTH CARE INC

ALLCARE LIVING SERVICES INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 23: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 23 of 103

ALLIED MEDICAL STAFFING

CARE CONSTRUCTORS LLC

CAREGIVERS UNLIMITED

FAITHFUL COMPANION HOME CARE

GLOBAL QUALITY HOME SERVICES

HOME HELPERS CAREGIVING SERVICES

JEANETTE'S LOVING CARE

200 W 5TH NORTH ST

1940 OLD TROLLEY RD STE D

571 BEECH HILL RD

110 MILEY DR

162 W MAIN ST

105 SCHOOL ST STE 2A

107 CHALMERS CT

SUMMERVILLE, SC 29483-6512 FACILITY #:843-285-7900

SUMMERVILLE, SC 29485 FACILITY #:843-771-4159

SUMMERVILLE, SC 29485-7810 FACILITY #:843-832-3222

SUMMERVILLE, SC 29485 FACILITY #:843-934-8998

HARLEYVILLE, SC 29448 FACILITY #:843-462-2890

RIDGEVILLE, SC 29472-8040 FACILITY #:843-771-1305

SUMMERVILLE, SC 29485-8818 FACILITY #:843-708-9698

PH#:

HOLT ADRIANNE PH#: 843-771-4159

RANCK RITA MAY PH#: 843-832-3222

BROWN SAMANTHA PH#: 843-934-8998

PH#:

PH#:

PH#:

IHCP-0225 / 07/31/2020

IHCP-1124 / 10/31/2020

IHCP-1041 / 02/28/2021

IHCP-1055 / 05/31/2021

IHCP-0773 / 01/31/2021

IHCP-0004 / 01/31/2021

IHCP-0271 / 09/30/2020

Dorchester / Corporation

Dorchester / Sole Proprietorship

Dorchester / Limited Liability Company (single member)

Dorchester / Limited Liability

Dorchester / Limited Liability

Dorchester / Limited Liability

Dorchester / Sole Proprietorship

200 W 5TH NORTH ST

PO BOX 131

105 SCHOOL ST STE 2A

PO BOX 367

SUMMERVILLE, SC 29483-6512

HARLEYVILLE, SC 29448

RIDGEVILLE, SC 29472-8040

SUMMERVILLE, SC 29484-0367

ALLIED MEDICAL STAFFING

CARE CONSTRUCTORS LLC

CAREGIVERS UNLIMITED LLC

FAITHFUL COMPANION HOME CARE LLC

GLOBAL QUALITY HOME SERVICES LLC

ADAMS SOLUTIONS LLC

LANGLEY-VINSON JEANETTE

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 24: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 24 of 103

VISIT BY AN ANGEL HOME CARE

VISITING ANGELS OF DORCHESTER COUNTY

VISTELAN HEALTHCARE

CARESOUTH HOMECARE SERVICES

COMFORT HOME CARE INC

HOMECARE SOUTH SERVICES - LLC

PASSION WITH PURPOSE HOME CARE

64 STRATTON DR

801 TRAVELERS BLVD STE A2

208 N CEDAR ST UNIT B

340 LEE ST STE B

1 PECAN PARK

340 LEE ST

1714 EDGEFIELD RD

NORTH CHARLESTON, SC 29420 FACILITY #:843-584-3916

SUMMERVILLE, SC 29485-8476 FACILITY #:843-285-5155

SUMMERVILLE, SC 29483-6451 FACILITY #:843-771-0292

JOHNSTON, SC 29832 FACILITY #:803-275-3535

EDGEFIELD, SC 29824 FACILITY #:803-637-9110

JOHNSTON, SC 29832-1433 FACILITY #:803-275-9480

N AUGUSTA, SC 29860 FACILITY #:803-392-8261

PH#:

PH#:

PH#:

TERRY IDA DENISE PH#: 803-275-9480

SIMPKINS SAMEIKA PH#: 803-637-9110

HAYNESWORTH PAULETTE PH#: 803-275-9480

PH#:

IHCP-1026 / 06/30/2020 (Renewal Pending)

IHCP-0464 / 10/31/2020

IHCP-0024 / 10/31/2020

IHCP-0774 / 09/30/2020

IHCP-0545 / 08/31/2020

IHCP-0176 / 06/30/2021

IHCP-0933 / 01/31/2021

Dorchester / Limited Liability

Dorchester / Limited Liability

Dorchester / Limited Liability Company (single member)

Edgefield / Limited Liability

Edgefield / Corporation

Edgefield / Limited Liability

Edgefield / Limited Liability

801 TRAVELERS BLVD STE A2

208 N CEDAR ST UNIT B

100 OLD CHEROKEE RD STE F-333

340 LEE ST

SUMMERVILLE, SC 29485-8476

SUMMERVILLE, SC 29483-6451

LEXINGTON, SC 29072

JOHNSTON, SC 29832-1433

VISIT BY AN ANGEL LLC

DBRZ LLC

VISTELAN LLC

CARESOUTH HOMECARE SERVICES LLC

COMFORT HOME CARE INC

HOMECARE SOUTH - LLC

PASSION WITH PURPOSE HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

Page 25: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 25 of 103

RIVER ROAD CARE

SUPERIOR NURSING SOLUTIONS

PATRICIA

PRECIOUS ADULT IN HOME CARE

REGAL HOMECARE AND CONCIERGE

ABBEY'S HOME CARE & STAFFING LLC

ABSOLUTE HEALTH CARE LLC

50 PROMISE LAND RD

1315 W MARTINTOWN RD STE A-5

105 W HIGH ST

121 FAGAN RD

325 ELM ST

1801 W EVANS ST STE 107D

1512 N IRBY ST

EDGEFIELD, SC 29824 FACILITY #:803-226-0476

N AUGUSTA, SC 29860 FACILITY #:803-279-2770

WINNSBORO, SC 29180 FACILITY #:803-542-7776

WINNSBORO, SC 29180-9584 FACILITY #:803-635-3755

WINNSBORO, SC 29180-1740 FACILITY #:803-402-9566

FLORENCE, SC 29501 FACILITY #:843-731-9040

FLORENCE, SC 29501 FACILITY #:803-799-0709

PH#:

DUNN CHANDLER ALLEN PH#: 803-279-2770

PH#:

PH#:

PH#:

PH#:

PH#:

IHCP-0817 / 01/31/2021

IHCP-0798 / 01/31/2021

IHCP-0827 / 01/31/2021

IHCP-0207 / 06/30/2021

IHCP-0432 / 08/31/2020

IHCP-1116 / 08/31/2020

IHCP-0568 / 06/30/2021

Edgefield / Corporation

Edgefield / Limited Liability

Fairfield / Limited Liability

Fairfield / Corporation

Fairfield / Limited Liability

Florence / Limited Liability

Florence / Limited Liability

50 PROMISE LAND RD

1315 W MARTINTOWN RD STE A-5

1332 MAIN ST STE 218

121 FAGAN RD

PO BOX 484

601 LANCELOT DR

EDGEFIELD, SC 29824

N AUGUSTA, SC 29860

COLUMBIA, SC 29201

WINNSBORO, SC 29180-9584

WINNSBORO, SC 29180

FLORENCE, SC 29505

RIVER ROAD CARE LLC

SUPERIOR NURSING SOLUTIONS LLC

PATRICIA LLC

PRECIOUS ADULT CARE INC

REGAL HOMECARE AND CONCIERGE

ALITA HOME CARE LLC

ABSOLUTE HEALTH CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 26: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 26 of 103

ADVANCE HOME CARE MANAGEMENT

ADVANCED HEALTHCARE STAFFING SOLUTIONS LLC

ALL QUALITY HEALTH CARE AGENCY LLC

ALL WAYS CARING HOMECARE-FLORENCE

ANGELIC HEALTH CARE INC

BY FAITH HOME CARE SERVICES II LP

CAMELLIA'S HOME CARE LLC

2151 W EVANS ST STE L

908 W EVANS ST

318 TALMADGE DR

960 PAMPLICO HWY STE L

1224 B S IRBY ST

181 E EVANS ST STE D17

4201 S IRBY ST LOT 14

FLORENCE, SC 29501-4085 FACILITY #:843-472-5276

FLORENCE, SC 29501-3442 FACILITY #:843-679-5355

LAKE CITY, SC 29560 FACILITY #:843-598-5470

FLORENCE, SC 29505-6244 FACILITY #:843-629-0794

FLORENCE, SC 29505-2753 FACILITY #:843-667-5100

FLORENCE, SC 29506 FACILITY #:252-907-8496

FLORENCE, SC 29505 FACILITY #:843-779-6740

JOHNSON REATHA P PH#: 803-865-8113

JETT PAMELA PH#: 843-679-5355

NESBITT AQUANETTA PH#: 843-598-5470

LEWIS CHRIS PH#: 864-386-0958

PH#:

HEDGEPATH TIFFANY PH#: 252-908-1788

DAVIS SHIANDRA PH#: 843-373-8284

IHCP-1142 / 08/31/2020

IHCP-0961 / 01/31/2021

IHCP-1099 / 09/30/2020

IHCP-0038 / 12/31/2020

IHCP-0280 / 07/31/2021

IHCP-1077 / 06/30/2020 (Renewal Pending)

IHCP-1094 / 07/31/2020

Florence / Limited Liability

Florence / Limited Liability

Florence / Limited Liability

Florence / Corporation

Florence / Corporation

Florence / Limited Liability Limited Partnership

Florence / Limited Liability Limited Partnership

960 PAMPLICO HWY STE L

PO BOX 12919

FLORENCE, SC 29505-6244

FLORENCE, SC 29504-2919

ADVANCE HOME CARE MANAGEMENT LLC

ADVANCED HEALTHCARE STAFFING SOLUTIONS LLC

ALL QUALITY HEALTH CARE AGENCY LLC

SOUTHERN HOME CARE SERVICES INC

ANGELIC HEALTH CARE INC

BY FAITH HOME CARE SERVICES II LP

CAMELLIA'S HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

Page 27: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 27 of 103

CARING FOR YOU SERVICES LLC

COMFORT KEEPERS #469 OF FLORENCE SUMTER & COLUMBIA

CORPORATE CARE LLC-FLORENCE

DEDICATED HOME CARE LLC

DOMINION HEALTH CARE LLC

EAST COAST NURSING SERVICES - FLORENCE

FAITH HOPE & LOVE HOMECARE

181 E EVANS ST STE 201

218 DOZIER BLVD

1210 W EVANS ST STE A

202 THIRD LOOP RD STE 6B

510 HICKORY GROVE CIR

2231 W PALMETTO ST STE 102

604 S COIT ST

FLORENCE, SC 29506-5524 FACILITY #:843-407-4524

FLORENCE, SC 29501-4075 FACILITY #:843-656-1056

FLORENCE, SC 29501-3387 FACILITY #:864-277-0041

FLORENCE, SC 29505 FACILITY #:843-598-8754

FLORENCE, SC 29501-0810 FACILITY #:843-413-0182

FLORENCE, SC 29501 FACILITY #:843-799-2123

FLORENCE, SC 29501 FACILITY #:843-472-5256

PH#:

HOWELL BRANDY PH#: 843-656-1056

COOLEY CAROLYN PH#: 864-250-0403

FRANCIS ELICEF PH#:

PH#:

HOOD BRITTANY PH#: 843-799-2123

PH#:

IHCP-0239 / 07/31/2021

IHCP-0222 / 06/30/2020 (Renewal Pending)

IHCP-0523 / 07/31/2020

IHCP-1205 / 05/31/2021

IHCP-0215 / 07/31/2021

IHCP-0601 / 08/31/2020

IHCP-0681 / 11/30/2020

Florence / Limited Liability

Florence / Limited Liability

Florence / Limited Liability

Florence /

Florence / Limited Liability

Florence / Limited Liability

Florence / Limited Liability

2114 WOODMORE CIR

PO BOX 7075

PO BOX 16148

510 HICKORY GROVE CIR

604 S COIT ST

FLORENCE, SC 29506-5524

FLORENCE, SC 29502

GREENVILLE, SC 29606-7148

FLORENCE, SC 29501-0810

FLORENCE, SC 29501

CARING FOR YOU SERVICES LLC

FLORENCE CK LLC

CORPORATE CARE LLC-FLORENCE

DEDICATED HOME CARE LLC

DOMINION HEALTH CARE LLC

EAST COAST NURSING SERVICES LLC

FAITH HOPE & LOVE HOMECARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 28: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 28 of 103

HALOS PERSONAL CARE

HELP AT HOME INC (HARTSVILLE)

HELPING HEARTS LLC

HOPE GARDENS LLC

JUST FOR YOU IN HOME CARE SERVICES

LUCILLES TENDER HOME CARE AGENCY LLC

NIGHTINGALE'S NURSING & ATTENDANT CARE SERVICES

1001 W EVANS ST STE 204

1330 CELEBRATION BLVD STE B

908 S PARKER DR STE 3

1001 W EVANS ST STE 201

1014 S CASHUA DR

107 E BROADWAY ST

2721 DAVID H MCLEOD BLVD

FLORENCE, SC 29501-3388 FACILITY #:843-799-4441

FLORENCE, SC 29501 FACILITY #:843-661-7132

FLORENCE, SC 29501-6007 FACILITY #:843-669-2999

FLORENCE, SC 29501-3388 FACILITY #:843-629-0402

FLORENCE, SC 29506 FACILITY #:843-731-9077

JOHNSONVILLE, SC 29555 FACILITY #:843-373-0756

FLORENCE, SC 29501-4043 FACILITY #:843-413-6033

PH#:

PH#:

PH#:

PH#:

PH#:

LEWIS PATRICIA A PH#: 843-373-0756

PH#:

IHCP-0623 / 11/30/2020

IHCP-0315 / 06/30/2020 (Renewal Pending)

IHCP-0191 / 06/30/2020 (Renewal Pending)

IHCP-0526 / 03/31/2021

IHCP-0810 / 06/30/2021

IHCP-1108 / 08/31/2020

IHCP-0022 / 10/31/2020

Florence / Sole Proprietorship

Florence / Corporation

Florence / Sole Proprietorship

Florence / Limited Liability

Florence / Limited Liability

Florence / Limited Liability

Florence /

700 S CASHUA DR 13F

1330 CELEBRATION BLVD STE B

908 S PARKER DR STE 3

1001 W EVANS ST STE 201

1014 S CASHUA DR

2721 DAVID H MCLEOD BLVD

FLORENCE, SC 29501

FLORENCE, SC 29501

FLORENCE, SC 29501-6007

FLORENCE, SC 29501-3388

FLORENCE, SC 29506

FLORENCE, SC 29501-4043

JONES-COVINGTON BETTY L

HELP AT HOME INC

BRANDY EADDY

HOPE GARDENS LLC

JUST FOR YOU IN HOME CARE SERVICES LLC

LUCILLES TENDER HOME CARE AGENCY LLC

NIGHTINGALE'S NURSING & ATTENDANT CARE SERVICES INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 29: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 29 of 103

NURSES UNLIMITED LLC

OPEN HANDS NURSING AGENCY LLC

PARSON'S COMPANION CARE

PERSONAL CARE

QUALITY LIFE HOMECARE AGENCY LLC

SENIOR CITIZENS ASSOCIATION IN FLORENCE COUNTY IN-HOME CARE PROVIDER

SERENITY HOMECARE AGENCY LLC

2230 BABAR LN STE 5

1951 PISGAH RD

141 BULLDOG LN

1951 PISGAH RD STE 136

240 N LEO RD

600 SENIOR WAY

812 S CASHUA DR ST E

FLORENCE, SC 29501-1248 FACILITY #:843-662-0929

FLORENCE, SC 29501 FACILITY #:843-944-0019

LAKE CITY, SC 29560 FACILITY #:843-598-9184

FLORENCE, SC 29501 FACILITY #:843-799-2552

LAKE CITY, SC 29560 FACILITY #:843-598-3768

FLORENCE, SC 29505 FACILITY #:843-669-6761

FLORENCE, SC 29504 FACILITY #:843-694-8623

TEDDER MICHAEL K PH#:

PH#:

PH#:

PH#:

PRESSLEY TERESA PH#: 843-598-3768

PH#:

PH#:

IHCP-0234 / 07/31/2021

IHCP-0420 / 10/31/2020

IHCP-0812 / 01/31/2021

IHCP-0544 / 05/31/2021

IHCP-1086 / 11/30/2020

IHCP-0559 / 10/31/2020

IHCP-1201 / 05/31/2021

Florence / Limited Liability

Florence / Limited Liability

Florence / Limited Liability

Florence / Limited Liability

Florence / Limited Liability

Florence /

Florence / Limited Liability

2230 BABAR LN STE 5

1951 PISGAH RD, PO BOX 16

1937 W PALMETTO ST-PMB#159

PO BOX 100548 INCUBATOR BOX #114

FLORENCE, SC 29501-1248

FLORENCE, SC 29501-6705

FLORENCE, SC 29501

FLORENCE, SC 29501

NURSES UNLIMITED LLC

OPEN HANDS NURSING AGENCY LLC

PARSON'S COMPANION CARE LLC

PERSONAL CARE GROUP LLC

QUALITY LIFE HOMECARE AGENCY LLC

SENIOR CITIZENS ASSOCIATION IN FLORENCE COUNTY

SERENITY HOMECARE AGENCY LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 30: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 30 of 103

TENDER CARE HEALTH CARE

TOUCHING HEARTS CARE LLC

ABUNDANCE HOME CARE LLC

ASSISTED HOME CARE

CAROL ANNE'S CAREGIVERS LLC

GRAND STRAND HOMEWATCH CAREGIVERS

HOME AIDE

1245 CELEBRATION BLVD

1811 S IRBY ST STE 109

263 COMMERCE DR UNIT 210

2501 N FRASER ST STE -D2

38 CANVASBACK COVE UNIT 111

4524 HWY 17 BYP

1710 S FRASER ST

FLORENCE, SC 29501-5499 FACILITY #:843-699-0104

FLORENCE, SC 29505 FACILITY #:843-333-3900

PAWLEYS ISLAND, SC 29585 FACILITY #:843-235-6721

GEORGETOWN, SC 29440 FACILITY #:843-331-0131

GEORGETOWN, SC 29440 FACILITY #:843-996-0871

MURRELLS INLET, SC 29576 FACILITY #:843-299-0291

GEORGETOWN, SC 29440-3910 FACILITY #:843-527-2752

PH#:

SHAH DARSHANA PH#: 843-333-3900

PH#:

SHAH KRUTIKA PH#: 732-277-6698

LORSON CAROL PH#: 843-996-0871

PH#:

PH#:

IHCP-0293 / 08/31/2020

IHCP-1058 / 07/31/2021

IHCP-0268 / 07/31/2020

IHCP-1127 / 09/30/2020

IHCP-1103 / 08/31/2020

IHCP-0254 / 07/31/2020

IHCP-0134 / 05/31/2021

Florence / Limited Liability

Florence / Limited Liability

Georgetown / Limited Liability

Georgetown / Limited Liability

Georgetown / Limited Liability

Georgetown / Limited Liability

Georgetown / Corporation

1245 CELEBRATION BLVD

72 PROFESSIONAL LN

4524 HWY 17 BYP

PO BOX 398

FLORENCE, SC 29501-5499

PAWLEYS ISLAND, SC 29585

MURRELLS INLET, SC 29576

GEORGETOWN, SC 29442-0398

TENDER CARE HOME HEALTH CARE LLC

TOUCHING HEARTS CARE LLC

ABUNDANCE HOME CARE LLC

ASSISTED HOME CARE LLC

CAROL ANNE'S CAREGIVERS OF COASTAL SC LLC

PORFIN LLC

IN-HOME HEALTHCARE SERVICES INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 31: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 31 of 103

HOME CARE ASSISTANCE OF S CAROLINA BEACH

LITCHFIELD WELL CARE

LOVELY DAY HOME CARE

SENIOR HELPERS OF PAWLEYS ISLAND

TIDELANDS HOME CARE

A TOUCH OF LIFE CARE AGENCY LLC

AAA CARE LLC

237A WILLBROOK BLVD

120 LAKES AT LITCHFIELD DR

225 LINCOLNSHIRE DR

10698 OCEAN HWY

829 FRONT ST STE I

159 COMMON WAY STE E

3505 PELHAM RD STE B

PAWLEYS ISLAND, SC 29585-7789 FACILITY #:864-247-0234

PAWLEYS ISLAND, SC 29585-5515 FACILITY #:843-235-9393

GEORGETOWN, SC 29440 FACILITY #:843-400-2500

PAWLEYS ISLAND, SC 29585 FACILITY #:843-979-3273

GEORGETOWN, SC 29440 FACILITY #:843-485-4492

GREENVILLE, SC 29609 FACILITY #:864-335-8321

GREENVILLE, SC 29615 FACILITY #:864-295-1949

DESMARTEAU ASHLEY PH#: 864-247-0234

LAYTON TIM PH#: 843-235-9393

PH#:

PH#:

BURROUGHS ZYAIRE PH#: 843-485-4492

HILL LEONARD PH#:

PH#:

IHCP-0890 / 05/31/2021

IHCP-0062 / 02/28/2021

IHCP-1001 / 04/30/2021

IHCP-0833 / 11/30/2020

IHCP-0887 / 07/31/2020

IHCP-0928 / 09/30/2020

IHCP-0185 / 06/30/2021

Georgetown / Limited Liability

Georgetown / Limited Liability

Georgetown / Limited Liability

Georgetown / Limited Liability

Georgetown / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

120 LAKES AT LITCHFIELD DR

10698 OCEAN HWY

143 COMMONS WAY

PAWLEYS ISLAND, SC 29585-5515

PAWLEYS ISLAND, SC 29585

GREENVILLE, SC 29611-3850

HOME CARE ASSISTANCE OF S CAROLINA BEACH LLC

LIVE LONG WELL CARE LLC

LOVELY DAY HOME CARE LLC

DPH LLC

TIDELANDS HOME CARE LLC

A TOUCH OF LIFE CARE AGENCY LLC

AAA CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 32: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 32 of 103

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

ALLEGIANT QUALITY HOME CARE LLC

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

210 WEST STONE AVE UNIT C2

GREENVILLE, SC 29611 FACILITY #:864-434-0880

GREENVILLE, SC 29609 FACILITY #:864-631-6085

GREENVILLE, SC 29607-5186 FACILITY #:864-242-1947

GREENVILLE, SC 29607-2127 FACILITY #:864-250-0016

GREENVILLE, SC 29607-5732 FACILITY #:864-213-2146

GREENVILLE, SC 29615 FACILITY #:864-242-4872

GREENVILLE, SC 29609 FACILITY #:864-230-7263

FERGUSON TAMI PH#: 864-236-4333

PH#:

PH#:

PH#:

PH#:

DENT SMITH LAURIE PH#: 864-235-5141

TROTTER ANITA PH#:

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

IHCP-1211 / 05/30/2021

Greenville / Sole Proprietorship

Greenville / Limited Liability

Greenville / Corporation

Greenville / Corporation

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

PO BOX 16645

2300 WARRENVILLE RD STE 100

PO BOX 623

1350 CLEVELAND ST STE B

GREENVILLE, SC 29606

DOWNERS GROVE, IL 60515-1700

MAULDIN, SC 29662

GREENVILLE, SC 29607-2457

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

ALLEGIANT QUALITY HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 33: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 33 of 103

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

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, SC 29607 FACILITY #:864-990-8704

GREENVILLE, SC 29607 FACILITY #:864-527-0464

GREENVILLE, SC 29607-2345 FACILITY #:864-729-8147

GREENVILLE, SC 29607 FACILITY #:864-747-3932

GREENVILLE, SC 29611 FACILITY #:864-248-4770

MAULDIN, SC 29662 FACILITY #:864-551-5165

GREENVILLE, SC 29607 FACILITY #:864-979-7794

PH#:

PH#:

OWENS FARRAH PH#: 864-787-3909

SIMMONS DEBBIE PH#: 864-558-1287

PH#:

PH#:

ANDERSON PAMELA PH#: 864-724-9824

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 / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville /

Greenville / Limited Liability

Greenville / Limited Liability

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

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

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 34: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 34 of 103

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

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

GREENVILLE, SC 29609-4913 FACILITY #:864-631-1733

GREENVILLE, SC 29611 FACILITY #:864-236-4333

GREENVILLE, SC 29607 FACILITY #:864-448-5000

GREENVILLE, SC 29605 FACILITY #:864-520-8213

GREENVILLE, SC 29607 FACILITY #:864-535-1825

SIMPSONVILLE, SC 29681-3220 FACILITY #:864-228-3604

GREENVILLE, SC 29609 FACILITY #:864-626-3166

PH#:

FERGUSON TAMI PH#: 864-236-4333

RANDALL SUE PH#: 864-448-5000

DIXON AFRICA PH#: 864-520-8213

PH#:

PH#:

PH#:

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

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Ltd. Liability

Greenville / Limited Liability

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

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

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 35: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 35 of 103

CARE FOR ALL LLC

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

3204 WHITE HORSE RD STE D

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

GREENVILLE, SC 29611 FACILITY #:864-295-2895

MAULDIN, SC 29662 FACILITY #:864-283-6691

GREENVILLE, SC 29609 FACILITY #:864-603-1419

GREENVILLE, SC 29607-2450 FACILITY #:864-233-1799

GREENVILLE, SC 29607-2451 FACILITY #:864-370-7200

GREENVILLE, SC 29607 FACILITY #:864-421-6894

GREENVILLE, SC 29615-1255 FACILITY #:864-268-8993

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

PH#:

GARY ANDRE PH#: 864-603-1419

PAULOS HIWOT PH#: 864-293-7479

PH#:

PH#:

PH#:

IHCP-0760 / 07/31/2021

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

Greenville / Sole Proprietorship

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

PO BOX 1032

880 S PLEASANTBURG DR STE 2D

880 S PLEASANTBURG DR STE 2E

1200 WOODRUFF RD STE A-3

26 RUSHMORE DR

MAULDIN, SC 29662

GREENVILLE, SC 29607-2450

GREENVILLE, SC 29607-2451

GREENVILLE, SC 29607

GREENVILLE, SC 29615-1255

CARE FOR ALL LLC

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

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 36: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 36 of 103

COMMUNITY HOME CARE SERVICES LLC

COMPASSIONATE HANDS HOMECARE SERVICES LLC

COMPLETE HOMECARE OF AMERICA INC

CORNERSTONE COMPASSIONATE CARE LLC

CORPORATE CARE LLC GREENVILLE

CORPORATE CARE LLC-GREENWOOD

COVENANT HOME CARE OF SOUTH CAROLINA

294 S PLEASENTBURG DR

127 COMMONS WAY

128 MILLPORT CIR STE 200

406 SPRING MEADOW RD

811 PENDLETON ST STE 2

811 PENDELETON ST STE #2

1115 TANNER RD STE 607

GREENVILLE, SC 29607 FACILITY #:864-236-1961

GREENVILLE, SC 29611 FACILITY #:864-248-6475

GREENVILLE, SC 29607-5573 FACILITY #:864-351-9350

SIMPSONVILLE, SC 29680 FACILITY #:864-688-2028

GREENVILLE, SC 29606 FACILITY #:864-250-0403

GREENVILLE, SC 29601 FACILITY #:864-350-0928

TAYLORS, SC 29687 FACILITY #:864-517-4834

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

PH#:

PH#:

CASON MARQUETTA PH#: 706-339-0635

PH#:

COOLEY CAROLYN PH#: 864-250-0403

CHEN RUSSELL M PH#: 864-655-5098

IHCP-0536 / 04/30/2021

IHCP-0371 / 09/30/2020

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

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

40 SHERMAN LN

1 CHICK SPRINGS RD STE 207A

128 MILLPORT CIR STE 200

PO BOX 16148

GREENVILLE, SC 29605

GREENVILLE, SC 29609-4976

GREENVILLE, SC 29607-5573

GREENVILLE, SC 29606-7148

COMMUNITY HOME CARE SERVICES LLC

COMPASSIONATE HANDS HOMECARE SERVICES LLC

COMPLETE HOMECARE OF AMERICA INC

CORNERSTONE COMPASSIONATE CARE LLC

CORPORATE CARE LLC

CORPORATE CARE LLC-GREENWOOD

COVENANT HOME CARE OF SOUTH CAROLINA LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

Page 37: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 37 of 103

DAISYS ALLCARE INHOME SERVICES LLC

DIVINE HEALING HOME CARE SERVICES LLC

DIVINE HEARTS HOMECARE LLC

DYNASTY HOME CARE

ELITE HOME CARE GREENVILLE

ENLIGHTENED HOME CARE LLC

ESSENTIAL CARE SERVICES LLC

44 PINE KNOLL DR STE C

120 HALTON RD STE 17

730 SOUTH PLEASANTBURG DR STE H

210 WEST STONE AVE STE LR5

211 VILLAGE DR

309 SE MAIN ST STE 204

504 N MAIN ST

GREENVILLE, SC 29609-3251 FACILITY #:864-243-8540

GREENVILLE, SC 29607 FACILITY #:864-987-0620

GREENVILLE, SC 29607 FACILITY #:864-234-0045

GREENVILLE, SC 29609 FACILITY #:864-248-6334

GREER, SC 29651-1238 FACILITY #:864-580-6477

SIMPSONVILLE, SC 29681 FACILITY #:864-206-5630

GREER, SC 29650 FACILITY #:864-655-7600

JACKSON TOSHIUS PH#:

PH#:

PH#:

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

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

IHCP-0192 / 06/30/2021

IHCP-0162 / 05/31/2021

IHCP-0666 / 01/31/2021

IHCP-0925 / 09/30/2020

IHCP-1089 / 02/28/2021

IHCP-0379 / 01/31/2021

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

44 PINE KNOLL DR STE C

310 LAUREL TREE LN

730 S PLEASANTBURG DR STE H

PO BOX 1181

504 N MAIN ST

GREENVILLE, SC 29609-3251

SIMPSONVILLE, SC 29681-5142

GREENVILLE, SC 29607

SPARTANBURG, SC 29304-1181

GREER, SC 29650-1653

DAISYS ALLCARE INHOME SERVICES LLC

DIVINE HEALING HOME HEALTH CARE SERVICES LLC

DIVINE HEARTS HOMECARE LLC

DYNASTY HOME HEALTH CARE LLC

ELITE HOMECARE LLC

ELIGHTENED HOME CARE LLC

ESSENTIAL CARE SERVICES LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

[email protected]

Page 38: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 38 of 103

ESSENTIALLY PREFERRED HOME CARE SERVICES LLC

FIRSTLIGHT HOMECARE OF GREENVILLE

FROM THE HEART HOMECARE

GENESIS HOME CARE SERVICES

GOLDEN HOMECARE SOLUTIONS LLC

GREENVILLE IN HOME CARE

GUARDIAN ANGELS OF THE UPSTATE

1 CHICK SPRINGS RD STE 313A

25 WOODS LAKE RD STE 300

501 W BUTLER RD STE G

25 WOODS LAKE RD STE 506

3 WINCHESTER CT STE 3B

2320 E NORTH ST STE D-2

8 SYCAMORE DR STE B10

GREENVILLE, SC 29609-4965 FACILITY #:864-438-1660

GREENVILLE, SC 29607-2762 FACILITY #:864-438-2995

GREENVILLE, SC 29607 FACILITY #:864-520-1131

GREENVILLE, SC 29607 FACILITY #:864-551-1496

MAULDIN, SC 29662 FACILITY #:864-558-0848

GREENVILLE, SC 29607 FACILITY #:864-688-9142

GREENVILLE, SC 29607 FACILITY #:864-412-8800

GRISSON KIMBERLY PH#: 864-438-1660

PH#:

TATE TAWANNA PH#: 864-520-1131

MITCHELL TIEQUENCCIA PH#: 864-551-0277

PH#:

SCHREIBER ASHLEY PH#: 864-688-9142

PH#:

IHCP-1053 / 05/31/2021

IHCP-0089 / 03/31/2021

IHCP-0821 / 05/31/2021

IHCP-0345 / 09/30/2020

IHCP-0220 / 07/31/2020

IHCP-1065 / 07/31/2020

IHCP-0813 / 11/30/2020

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

25 WOODS LAKE RD STE 300

880 S PLEASANTBURG DR STE 2E OFFICE A

419 SE MAIN ST STE 300B

8 SYCAMORE DR STE B6

GREENVILLE, SC 29607-2762

GREENVILLE, SC 29607-2451

SIMPSONVILLE, SC 29681-2651

GREENVILLE, SC 29607

ESSENTIALLY PREFERRED HOME CARE SERVICES

UPSTATE HOME CARE LLC

FROM THE HEART HOMECARE LLC

GENESIS HOME CARE SERVICES

GOLDEN HOMECARE SOLUTIONS

GREENVILLE IN HOME CARE LLC

GUARDIAN ANGELS OF THE UPSTATE

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

Page 39: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 39 of 103

HANDS OF HOPE HEALTH CARE SERVICES

HANDS THRU US HOMECARE

HEART OF THE CAROLINAS LLC

HEAVENLY CARE SERVICES LLC

HEAVENS ANGEL HOME CARE AGENCY

HELPERS OF THE VINE

HELPFUL HEARTS CARE SERVICES

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

1200 WOODRUFF RD STE A-3

1 CHICK SPRINGS RD STE 113B

GREENVILLE, SC 29609 FACILITY #:864-603-2610

GREENVILLE, SC 29605 FACILITY #:864-609-4336

MAULDIN, SC 29662 FACILITY #:864-990-4345

GREENVILLE, SC 29605 FACILITY #:864-233-4272

TRAVELERS REST, SC 29690 FACILITY #:864-990-5202

GREENVILLE, SC 29607 FACILITY #:864-627-3134

GREENVILLE, SC 29609 FACILITY #:864-335-8891

PH#:

DILLARD DEANA PH#: 864-609-4336

HENDERSON FRANK L PH#: 864-905-1768

PH#:

CHEEKS TONYA T PH#: 864-787-7492

DEWAR DONNA PH#: 864-627-3134

IRBY JAMES PH#:

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

IHCP-0625 / 05/31/2021

IHCP-0910 / 07/31/2020

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville /

Greenville / Corporation

Greenville / Limited Liability

1429 AUGUSTA RD

300 W BUTLER RD STE A

PO BOX 8122

3620 PELHAM RD STE 5 #337

GREENVILLE, SC 29605

MAULDIN, SC 29662

GREENVILLE, SC 29604-8122

GREENVILLE, SC 29615

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

HELPERS OF THE VINE INC

HELPFUL HEARTS CARE SERVICES LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 40: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 40 of 103

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

HOPE & GRACE LLC

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

1491 HENDERSON GAP RD

GREENVILLE, SC 29615 FACILITY #:864-247-0234

GREENVILLE, SC 29615-3514 FACILITY #:864-289-9897

MAULDIN, SC 29680 FACILITY #:864-201-2011

GREENVILLE, SC 29615 FACILITY #:864-242-2228

TAYLORS, SC 29687 FACILITY #:843-536-0272

GREENVILLE, SC 29607-5753 FACILITY #:864-509-0080

GREER, SC 29650-1554 FACILITY #:864-848-1729

DESMARTEAU ASHLEY PH#: 864-247-0234

DESMARTEAU ASHLEY PH#: 864-247-0234

YATES JAMARLO PH#: 864-729-2011

PH#:

PH#:

PH#:

PH#:

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)

IHCP-0096 / 04/30/2021

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

1255 OAKMED PKWY

3505 PELHAM RD STE D

3040 E HWY 6 STE C

1200 WOODRUFF RD STE A12

509 W POINSETT ST

SUNNYVALE, CA 94085

GREENVILLE, SC 29615

MULLINS, SC 29574

GREENVILLE, SC 29607-5753

GREER, SC 29650-1554

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

HOPE & GRACE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 41: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 41 of 103

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

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, SC 29607 FACILITY #:864-520-8388

MAULDIN, SC 29662 FACILITY #:864-214-1268

GREENVILLE, SC 29605 FACILITY #:864-214-3794

SIMPSONVILLE, SC 29681 FACILITY #:864-757-9906

GREENVILLE, SC 29611 FACILITY #:864-720-0200

GREENVILLE, SC 29607 FACILITY #:864-527-0458

GREENVILLE, SC 29615-5756 FACILITY #:864-627-1200

BLUE TRACIE PH#: 864-979-0846

PH#:

PH#:

PH#:

HILL LATONYA PH#:

GIST SONYA M PH#: 864-558-0195

COLOVIN KIERSTEN PH#:

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

Greenville / Limited Liability

Greenville / Sole Proprietorship

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

2 SHEARBROOK DR

2320 E NORTH ST STE AA RM 111

1 CHICK SPRINGS RD STE 101-F

16 HYLAND RD

MAULDIN, SC 29662

GREENVILLE, SC 29607

GREENVILLE, SC 29609-4953

GREENVILLE, SC 29615-5756

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

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 42: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 42 of 103

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

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

GREENVILLE, SC 29607 FACILITY #:864-236-8006

SIMPSONVILLE, SC 29681 FACILITY #:864-401-4287

GREENVILLE, SC 29609 FACILITY #:864-412-8566

GREENVILLE, SC 29607-4033 FACILITY #:864-528-5511

GREENVILLE, SC 29605 FACILITY #:864-558-0044

GREENVILLE, SC 29605-1766 FACILITY #:864-288-2617

GREENVILLE, SC 29605 FACILITY #:864-991-3252

PH#:

KHALID GHADA PH#:

MCGOWAN CLARICE PH#: 864-412-8566

HOOTS CORRY PH#:

PH#:

PH#:

PH#:

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

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Sole Proprietorship

Greenville / Limited Liability Company (single member)

Greenville / Limited Liability

10 FOUNTAINVIEW TER

58A PKWY COMMONS WAY

GREENVILLE, SC 29607-4033

GREER, SC 29650

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

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 43: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 43 of 103

LOWDEN'S HOME CARE LLC

MARY'S CARING HANDS

MOM'S 2 DAUGHTERS HOMECARE SERVICES

MTS MORE THAN SITTERS LLC

NEXT LEVEL HOME CARE

NOLAN HOME CARE

OASIS HOMECARE

2710 WHITE HORSE RD

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

GREENVILLE, SC 29611-6145 FACILITY #:864-908-2845

MAULDIN, SC 29662 FACILITY #:864-386-2026

GREENVILLE, SC 29617 FACILITY #:864-263-7511

GREENVILLE, SC 29611-3850 FACILITY #:864-236-8264

GREENVILLE, SC 29615 FACILITY #:864-335-4070

GREENVILLE, SC 29609-4972 FACILITY #:864-438-1280

GREENVILLE, SC 29609 FACILITY #:864-603-2626

PH#:

PH#:

PH#:

PH#:

NELSON JALESA PH#: 864-335-4070

NOLAN QUINYETTA PH#:

PH#:

IHCP-0921 / 07/31/2020

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

Greenville / Sole Proprietorship

Greenville / Sole Proprietorship

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

145 COMMONS WAYGREENVILLE, SC 29611-3850

LOWDEN'S HOME CARE LLC

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

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 44: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 44 of 103

OPTIMUM HEALTHCARE LLC

PALMETTO HOME CARE SERVICE

PALMETTO HOME CARE UPSTATE LLC

PEACE AT HOME HOME CARE SERVICES

PERSONAL CAREGIVERS LLC

PLAN HOME CARE

PRECISE HOMECARE SOLUTIONS LLC

622-A OLD EASLEY HWY

879 NE MAIN ST UNIT B

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

GREENVILLE, SC 29611-6521 FACILITY #:864-552-1114

SIMPSONVILLE, SC 29681 FACILITY #:864-438-0560

GREENVILLE, SC 29607-2762 FACILITY #:864-272-1973

FOUNTAIN INN, SC 29644 FACILITY #:864-351-9738

GREENVILLE, SC 29607 FACILITY #:864-520-2136

GREENVILLE, SC 29605-4660 FACILITY #:864-242-2555

SIMPSONVILLE, SC 29680-2821 FACILITY #:864-757-1970

PH#:

PH#:

PH#:

DAVIS KRYSTAL PH#: 302-212-7611

PH#:

WILSON JESSIE PH#: 864-242-2555

PH#:

IHCP-0048 / 01/31/2021

IHCP-0888 / 07/31/2020

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

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

622A OLD EASLEY HWY

25 WOODS LAKE RD STE 301

PO BOX 6996

PO BOX 9238

PO BOX 81075

GREENVILLE, SC 29611-6521

GREENVILLE, SC 29607-2762

GREENVILLE, SC 29607

GREENVILLE, SC 29605

SIMPSONVILLE, SC 29680-0018

OPTIMUM HEALTHCARE LLC

PALMETTO HOME CARE SERVICE LLC

PALMETTO HOME CARE UPSTATE LLC

PEACE AT HOME HOME CARE SERVICES LLC

PERSONAL CAREGIVERS LLC

PLAN HOME CARE

PRECISE HOMECARE SOLUTIONS LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

Page 45: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 45 of 103

PREMIUM TOUCH OF CARE ENTERPRISES

PRESTIGIOUS HOME CARE LLC

PRIME HOME CARE SERVICES

PROVIDED CARE IN HOME SERVICES LLC

PROVIDENCE HOME CARE SOLUTIONS

QUALITY CARE IN HOME CARE SERVICES LLC

RESTORATIVE HOMECARE SERVICES

141 TRACTION ST STE 43

1306 A W POINSETT ST

105 ARBORDALE LN

25 WOODS LAKE RD STE 410

151 COMMONS WAY

904 PENDLETON ST

1200 WOODRUFF ROAD BLDG A-3 STE 163

GREENVILLE, SC 29611 FACILITY #:864-335-9047

GREER, SC 29650 FACILITY #:864-309-3575

SIMPSONVILLE, SC 29680 FACILITY #:864-881-8330

GREENVILLE, SC 29607-2763 FACILITY #:864-200-2796

GREENVILLE, SC 29611 FACILITY #:864-626-3154

GREENVILLE, SC 29601-2314 FACILITY #:864-907-4525

GREENVILLE, SC 29607 FACILITY #:864-527-3157

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

PH#:

PH#:

LATIMORE FALLON PH#: 864-200-2796

GADSON-HUGHES SHERRY PH#:

PH#:

PH#:

IHCP-1235 / 06/30/2021

IHCP-1157 / 02/28/2021

IHCP-0811 / 01/31/2021

IHCP-0499 / 05/31/2021

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

IHCP-0429 / 01/31/2021

IHCP-0990 / 02/28/2021

Greenville /

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

105 ARBORDALE LN

25 WOODS LAKE RD STE 410

PO BOX 9042

SIMPSONVILLE, SC 29680

GREENVILLE, SC 29607-2763

GREENVILLE, SC 29604-9042

PREMIUM TOUCH OF CARE ENTERPRISES LLC

PRESTIGIOUS HOME CARE LLC

PRIME HOME CARE SERVICES LLC

PROVIDED CARE IN HOME SERVICES LLC

GSM HOME CARE INC

QUALITY CARE IN HOME CARE SERVICES LLC

RESTORATIVE HOMECARE SERVICES LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 46: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 46 of 103

RIGHT AT HOME - GREENVILLE SC

ROLLING GREEN VILLAGE HOME CARE

SAMARITAN BED AND BATH SERVICES INC

SECOND CHANCE

SELECT ONE HEALTHCARE SOLUTIONS LLC

SENIOR HELPERS OF GREENVILLE

SHILOH HOME CARE SERVICES LLC

3401 HWY 153 STE D

1 HOKE SMITH BLVD

316-A POPLAR ST

106 MAGGIE ST

107 COMMONS WAY

114 WIILLIAMS ST STE B

1 CHICK SPRINGS RD STE 214B

POWDERSVILLE, SC 29673 FACILITY #:864-609-1656

GREENVILLE, SC 29615-5308 FACILITY #:864-987-9800

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

GREENVILLE, SC 29605 FACILITY #:864-263-7245

GREENVILLE, SC 29611 FACILITY #:864-520-1877

GREENVILLE, SC 29601 FACILITY #:864-757-9862

GREENVILLE, SC 29609 FACILITY #:864-800-2544

PH#:

TOERNER RYAN PH#: 864-987-9800

PH#:

WILLIAMS BERTHA REE PH#: 864-263-7245

FOLLIS CHALAINE PH#: 864-520-1877

BOHMAN ROBERT PH#: 864-871-0080

MCCOMBS TEKEVIES PH#: 864-800-2544

IHCP-0159 / 05/31/2021

IHCP-0323 / 08/31/2020

IHCP-0439 / 09/30/2020

IHCP-1171 / 02/28/2021

IHCP-0330 / 09/30/2020

IHCP-0197 / 04/30/2021

IHCP-1181 / 03/31/2021

Greenville / Limited Liability

Greenville / Corporation

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

PO BOX 747

1 HOKE SMITH BLVD

403 N MAIN ST

107 COMMONS WAY

114 WILLIAMS ST STE B

CLEMSON, SC 29633

GREENVILLE, SC 29615-5308

TRAVELERS REST, SC 29690-1528

GREENVILLE, SC 29611

GREENVILLE, SC 29601

UPSTATE INTEGRITY LLC

ROLLING GREEN VILLAGE RETIREMENT COMMUNITY

SAMARITAN BED AND BATH SERVICES INC

SECOND CHANCE HOME HEALTH CARE LLC

SELECT ONE HEALTHCARE SOLUTIONS LLC

COURT CONCEPTS LLC

TEKEVIES MCCOMBS

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 47: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 47 of 103

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

SYNERGY HOMECARE OF GREENVILLE

THAD'S DAUGHTERS HEALTH CARE

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

439 CONGAREE RD

44 PINE KNOLL DR STE H-4

GREENVILLE, SC 29607-5573 FACILITY #:864-325-1111

GREENVILLE, SC 29609 FACILITY #:864-509-9031

GREER, SC 29651 FACILITY #:864-665-4100

GREENVILLE, SC 29607 FACILITY #:864-200-2796

GREENVILLE, SC 29605 FACILITY #:864-729-8998

GREENVILLE, SC 29607 FACILITY #:864-751-1913

GREENVILLE, SC 29609 FACILITY #:864-244-1043

PH#:

PH#:

WESTMORELAND TRACY PH#: 864-706-9125

LATIMORE FALLON PH#: 864-200-2796

PH#:

PH#:

PH#:

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

IHCP-0608 / 07/31/2020

IHCP-0766 / 01/31/2021

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

12 PELHAM RD STE A

439 CONGAREE RD

44 PINE KNOLL DR STE H-4

GREENVILLE, SC 29615

GREENVILLE, SC 29607

GREENVILLE, SC 29609

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

NOGIZAKA ASSOCIATES LLC

THAD'S DAUGHTERS HEALTH CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 48: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 48 of 103

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

UPSTATE HOME CARE SOLUTIONS

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

113 W ANTRIM DR

GREENVILLE, SC 29617-6226 FACILITY #:864-371-3163

GREENVILLE, SC 29609

GREENVILLE, SC 29607 FACILITY #:864-551-5805

GREENVILLE, SC 29611 FACILITY #:864-335-9310

GREENVILLE, SC 29605 FACILITY #:864-361-9349

GREENVILLE, SC 29607 FACILITY #:864-252-4487

GREENVILLE, SC 29607 FACILITY #:864-527-0455

LILLY DONALD R PH#: 864-371-3100

PH#:

PH#:

PH#:

STEEPS SHALON PH#: 864-361-9349

VANCE WILLENA PH#: 864-704-2687

PH#:

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

IHCP-0109 / 04/30/2021

Greenville / Non-Profit Corporation

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

1500 TRAILHEAD CT

113 W ANTRIM DR

GREENVILLE, SC 29617-6226

GREENVILLE, SC 29607

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

UPSTATE HOME HEALTH CARE SOLUTIONS LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

Page 49: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 49 of 103

UPSTATE LIVING WATER

VISITING ANGELS - UPSTATE SC

WINDSOR HOUSE HOMECARE

WRIGHT HOME CARE

XTRA HOMECARE SERVICES INC

180 HEALTH AND WELLNESS

AGAPE HOME CARE

50 PARKINS MLL RD UNIT A

238 ADLEY WAY

1931 PELHAM RD

217 EAST STONE AVE STE 8

33 MARKET POINT DR

104 MAXWELL AVE STE 345

104 MAXWELL AVE STE 347

GREENVILLE, SC 29607 FACILITY #:864-569-5977

GREENVILLE, SC 29607-6511 FACILITY #:864-284-6370

GREENVILLE, SC 29615-4002 FACILITY #:864-288-9450

GREENVILLE, SC 29609 FACILITY #:864-534-1804

GREENVILLE, SC 29607-5768 FACILITY #:864-527-0466

GREENWOOD, SC 29646 FACILITY #:864-377-8289

GREENWOOD, SC 29646 FACILITY #:864-447-7625

PH#:

PH#:

WILSON RENEE PH#: 864-288-9450

PH#:

PH#:

PH#:

MARSHALL SHENITA PH#:

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

IHCP-0248 / 07/31/2020

IHCP-1052 / 08/31/2020

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Limited Liability

Greenville / Corporation

Greenwood / Limited Liability

Greenwood / Limited Liability

340 BLAKELY AVE

PO BOX 25304

1931 PELHAM RD

PO BOX 25249

PO BOX 49606

PIEDMONT, SC 29673

GREENVILLE, SC 29616-0304

GREENVILLE, SC 29615-4002

GREENVILLE, SC 29616-0249

GREENWOOD, SC 29649-0011

UPSTATE LIVING WATER LLC

ANGEL HANDS LLC

WINDSOR HOUSE HOMECARE LLC

THE WRIGHT HOME CARE LLC

XTRA HOMECARE SERVICES INC

180 HEALTH AND WELLNESS LLC

AGAPE HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 50: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 50 of 103

ALWAYS BEST CARE OF GREENWOOD - ANDERSON

BRIGHT HEARTS HOME CARE

CAREGIVERS OF THE UPSTATE

COMFORT HOME CARE-GREENWOOD

ELITE HOME CARE OF SOUTH CAROLINA

HEALTH RELATED PERSONNEL SERVICES INC

JEREMIAH INVESTORS-GREENWOOD

1201 CAMBRIDGE AVE E

2042 C MONTAGUE AVE EXT

712-A MONTAGUE AVE

104 MAXWELL AVE STE 225

231-D HAMPTON RD

1157 SPRING ST

132 MAXWELL AVE

GREENWOOD, SC 29646-3071 FACILITY #:864-229-1211

GREENWOOD, SC 29649 FACILITY #:864-223-8020

GREENWOOD, SC 29649 FACILITY #:864-229-1488

GREENWOOD, SC 29646 FACILITY #:803-261-1405

GREENWOOD, SC 29649 FACILITY #:704-200-9924

GREENWOOD, SC 29646-3833 FACILITY #:864-229-6600

GREENWOOD, SC 29646 FACILITY #:864-538-0155

PH#:

COATES CYNTHIA PH#: 864-223-8020

PH#:

LYONS CHASITY PH#: 803-261-1405

PH#:

PH#:

GUNTER ALEXUS N PH#:

IHCP-0102 / 03/31/2021

IHCP-1015 / 09/30/2020

IHCP-0792 / 11/30/2020

IHCP-0956 / 07/31/2020

IHCP-0562 / 10/31/2020

IHCP-0129 / 04/30/2021

IHCP-0831 / 03/31/2021

Greenwood / Corporation

Greenwood / Limited Liability

Greenwood / Corporation

Greenwood / Corporation

Greenwood / Corporation

Greenwood / Corporation

Greenwood / Limited Liability

1201 CAMBRIDGE AVE E

712-A MONTAGUE AVE

1910 ABBOTT ST STE 202

1157 SPRING ST

GREENWOOD, SC 29646-3071

GREENWOOD, SC 29469

CHARLOTTE, NC 28203

GREENWOOD, SC 29646-3833

KAPPERMAN ENTERPRISES INC

BRIGHT HEARTS HOME CARE LLC

CAREGIVERS OF THE UPSTATE INC

COMFORT HOME CARE-GREENWOOD

ELITE HOME HEALTH CARE INC

HEALTH RELATED PERSONNEL SERVICES INC

JEREMIAH INVESTORS LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 51: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 51 of 103

ANGEL ARMS IN HOME PERSONAL CARE SERVICE LLC

LOW COUNTRY FAMILY SERVICE

MORNING STAR HOME CARE SERVICES LLC

THE UNIQUE CARING FOUNDATION

5 STAR HOME CARE

ALL ABOUT YOU HOME CARE INC

ALL WAYS CARING HOMECARE MYRTLE BEACH

1125 ELM ST W

61 HICKORY HILL

196 TILLMAN AVE

15 MAPLE STREET E

1000 21ST AVENUE NORTH STE 10

202 ELM ST STE 106

1111 48TH AVE N STE 116

HAMPTON, SC 29924 FACILITY #:803-943-6445

VARNVILLE, SC 29944 FACILITY #:803-943-0159

VARNVILLE, SC 29944 FACILITY #:803-943-3254

HAMPTON, SC 29924 FACILITY #:803-943-0023

MYRTLE BEACH, SC 29577 FACILITY #:843-212-7986

CONWAY, SC 29526 FACILITY #:814-720-4423

MYRTLE BEACH, SC 29577-5440 FACILITY #:843-692-2557

WHITE LINDA PH#: 803-943-6445

PH#:

REDENBURG ERICA PH#: 803-943-3254

HAMILTON FELICIA PH#: 704-535-0093

JOHNSON MICHELLE PH#: 843-756-5487

LONG CONNIE PH#: 814-795-5083

LEWIS CHRIS PH#: 864-386-0958

IHCP-1129 / 05/31/2021

IHCP-0406 / 07/31/2020

IHCP-0180 / 06/30/2021

IHCP-0872 / 08/31/2020

IHCP-0825 / 03/31/2021

IHCP-1177 / 04/30/2021

IHCP-0015 / 06/30/2021

Hampton / Limited Liability

Hampton / Corporation

Hampton / Limited Liability

Hampton / Corporation

Horry / Corporation

Horry / Corporation

Horry / Corporation

PO BOX 912

PO BOX 883

1111 48TH AVE N STE 116

VARNVILLE, SC 29944-0912

VARNVILLE, SC 29944

MYRTLE BEACH, SC 29577-5440

ANGEL ARMS HOME HEALTH CARE SVC LLC

LOW COUNTRY FAMILY SERVICE INC

MORNING STAR HOME CARE SERVICES LLC

THE UNIQUE CARING FOUNDATION INC

5 STAR HOME CARE INC

ALL ABOUT YOU HOME CARE INC

SOUTHERN HOME CARE SERVICES INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 52: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 52 of 103

ALWAYS BEST CARE OF THE GRAND STRAND

AMERICARE HOMEMAKERS LLC

ARCHANGEL HOME CARE LLC

ATLANTIC HEALTHCARE GROUP INC

BEACHSIDE HOME SERVICE

BRIGHTWATER WELL CARE

CAREGIVERS OF SOUTH CAROLINA LLC

811 8TH AVE S STE B

671 JAMESTOWN DR 202F

4207 SEA MOUNTAIN HWY UNIT C

911 CREEL ST

917 BROADWAY ST

101 BRIGHTWATER DR

4691 DICK POND ROAD UNIT C

SURFSIDE BEACH, SC 29575 FACILITY #:843-640-0129

MURRELLS INLET, SC 29576 FACILITY #:843-254-8818

LITTLE RIVER, SC 29566 FACILITY #:843-446-8940

CONWAY, SC 29527-5001 FACILITY #:843-488-4001

MYRTLE BEACH, SC 29577 FACILITY #:843-508-8115

MYRTLE BEACH, SC 29579 FACILITY #:843-903-8300

MYRTLE BEACH, SC 29588 FACILITY #:843-347-6440

PH#:

PH#:

SAVAGE TASHA D PH#: 803-446-8940

PH#:

PH#:

FRYAR LESLIE PH#: 843-903-8318

PH#:

IHCP-0789 / 10/31/2020

IHCP-0386 / 09/30/2020

IHCP-0978 / 01/31/2021

IHCP-0153 / 05/31/2021

IHCP-0727 / 03/31/2021

IHCP-0079 / 03/31/2021

IHCP-0476 / 11/30/2020

Horry / Corporation

Horry / Sole Proprietorship

Horry / Limited Liability

Horry / Corporation

Horry / Limited Liability

Horry / Limited Liability

Horry / Limited Liability

3800 FOREST DR STE C-201

671 JAMESTOWN DR UNIT 202F

PO BOX 1627

PO BOX 534

101 BRIGHTWATER DR

1926 ROLLING HILLS DR

COLUMBIA, SC 29204

MURRELLS INLET, SC 29576

CONWAY, SC 29528

DUNN, NC 28335

MYRTLE BEACH, SC 29579-8275

CONWAY, SC 29526-9113

NLR SERVICES INC

GATTIS HARRIET DARLENE

ARCHANGEL HOME CARE LLC

ATLANTIC HEALTHCARE GROUP INC

BEACHSIDE HOME SERVICE LLC

LIVE LONG WELL CARE LLC

CAREGIVERS OF SOUTH CAROLINA LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

Page 53: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 53 of 103

CARING HANDS HOME CARE LLC USA

CITY CARE HOME CARE

COMFORCARE SENIOR SERVICES - MYRTLE BEACH

COMFORT KEEPERS - MYRTLE BEACH

COMPASSIONATE CARE SENIOR SERVICES

EAST COAST NURSING SERVICES

FIRSTLIGHT HOME CARE OF THE GRAND STRAND

649 MARTIN ST

2423 HWY 17 S STE 7

1110 LONDON ST STE 106

3009 CHURCH ST UNIT A

315 MAIN ST STE 10

1318 4TH AVE

2520 HWY 17 BUSINESS UNIT 2

MYRTLE BEACH, SC 29577 FACILITY #:843-945-1098

MYRTLE BEACH, SC 29582 FACILITY #:917-542-1618

MYRTLE BEACH, SC 29577-5799 FACILITY #:843-444-2483

MYRTLE BEACH, SC 29577 FACILITY #:843-249-9200

CONWAY, SC 29526-5147 FACILITY #:843-438-8490

CONWAY, SC 29526-5049 FACILITY #:843-488-2493

GARDEN CITY, SC 29576 FACILITY #:843-651-2273

BRUNSON ANGELA PH#: 843-945-1098

BERG MAX PH#: 917-542-1618

PH#:

KANE KRISTIN PH#: 843-249-9200

AITKENS YVETTE PH#: 843-438-8490

PH#:

RECUPERO JAMIE L PH#: 843-651-2273

IHCP-0606 / 11/30/2020

IHCP-1139 / 03/31/2021

IHCP-0040 / 12/31/2020

IHCP-0762 / 07/31/2020

IHCP-0517 / 03/31/2021

IHCP-0218 / 07/31/2020

IHCP-0078 / 03/31/2021

Horry / Limited Liability

Horry / Corporation

Horry / Limited Liability

Horry / Corporation

Horry / Limited Liability

Horry / Limited Liability

Horry / Corporation

1110 LONDON ST STE 106

1555 KATHWOOD DR

315 MAIN ST STE 4

1318 4TH AVE

PO BOX 15433

MYRTLE BEACH, SC 29577-5799

COLUMBIA, SC 29206

CONWAY, SC 29526-5147

CONWAY, SC 29526-5049

SURFSIDE BEACH, SC 29575

CARING HANDS HOME CARE LLC USA

CITY CARE HOME HEALTH CORP

J&S SENIOR SERVICES LLC

IN-HOME COMPASSIONATE CARE SERVICES INC

COMPASSIONATE CARE SENIOR SERVICES

EAST COAST NURSING SERVICES LLC

FIRSTLIGHT HOME CARE OF THE GRAND STRAND INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

YETTE@COMPASSIONATECARESENIORSERVICES.

No Fac Cont Email on record

[email protected]

Page 54: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 54 of 103

FORGET ME NOT HOMECARE SERVICES LLC

GRAND STRAND COMFORT CARE

GRAND STRAND HOME CARE

GRISWOLD HOME CARE CHARLESTON REGION-PEE DEE-GRAND STRAND

HAPPY FAMILY HOMECARE LLC

HEAVENLY HELPERS NURSING SERVICES

HOME CARE DIRECT LLC

1717 HUSTED RD UNIT D

2411 N OAK ST STE 105-J

4999 CAROLINA FOREST BLVD UNIT 21 C

195A PRATHER PARK DR

1297 PROFESSIONAL DR STE 201

4502 HWY 17 BYP S

242 8TH AVE

CONWAY, SC 29526 FACILITY #:843-234-0354

MYRTLE BEACH, SC 29577 FACILITY #:843-626-2613

MYRTLE BEACH, SC 29579 FACILITY #:803-492-7292

MYRTLE BEACH, SC 29588-7911 FACILITY #:843-488-2849

MYRTLE BEACH, SC 29577 FACILITY #:843-999-4491

MYRTLE BEACH, SC 29588-5614 FACILITY #:843-831-0524

AYNOR, SC 29511-3222 FACILITY #:843-358-2005

PH#:

ROSENBERG ASHER PH#: 843-626-2613

SHETH NISHITA PH#: 803-464-9983

JOHNSON FRANCIS PH#: 843-488-2849

PH#:

PH#:

PH#:

IHCP-0155 / 05/31/2021

IHCP-1063 / 04/30/2021

IHCP-0781 / 10/31/2020

IHCP-0263 / 08/31/2020

IHCP-1156 / 11/30/2020

IHCP-0486 / 12/31/2020

IHCP-0128 / 04/30/2021

Horry / Limited Liability

Horry /

Horry / Limited Liability

Horry / Corporation

Horry / Limited Liability

Horry / Limited Liability

Horry / Limited Liability

1717 HUSTED DR UNIT D

195A PRATHER PARK DR

PO BOX 645

CONWAY, SC 29526

MYRTLE BEACH, SC 29588-7911

AYNOR, SC 29511-0645

FORGET ME NOT HOMECARE SERVICES LLC

GRANDSTRAND COMFORT CARE LLC

NISHI LLC

CITADEL SERVICES INC

HAPPY HOME HEALTH CARE LLC

HEAVENLY HELPERS NURSING SERVICES LLC

HOME CARE DIRECT LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 55: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 55 of 103

HOME CARE HELPERS USA LLC

HOME CARE OF MYRTLE BEACH LLC

HOME INSTEAD SENIOR CARE OF MURRELLS INLET

HOPE AND FREEDOM HOME CARE

J & R ANGELS CARE SERVICES LLC

LIFECARE HOME CARE

PALMETTO PERSONAL CARE SERVICES INC

618 CHESTNUT RD STE 103

1019 HWY 17 S STE 122

11746 HWY 17 BYPASS STE B

2903-A FOURTH AVE

2195 OAK DALE RD

3415 HWY 701 N UNIT B

4105 MAIN ST

MYRTLE BEACH, SC 29572-5504 FACILITY #:843-213-0800

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

MURRELLS INLET, SC 29576 FACILITY #:843-357-9777

CONWAY, SC 29527 FACILITY #:843-484-0838

LORIS, SC 29569 FACILITY #:843-877-0233

CONWAY, SC 29526 FACILITY #:864-279-5967

LORIS, SC 29569-3023 FACILITY #:843-716-1700

PH#:

PH#:

WILLIAMS DOUGLAS T PH#: 843-224-1405

PH#:

JACKSON JANELLA PH#:

PATEL MANSI PH#: 864-279-5967

PH#:

IHCP-0046 / 01/31/2021

IHCP-0237 / 07/31/2020

IHCP-0054 / 02/28/2021

IHCP-0675 / 02/28/2021

IHCP-1221 / 06/30/2021

IHCP-1178 / 03/31/2021

IHCP-0088 / 03/31/2021

Horry / Limited Liability

Horry / Limited Liability

Horry / Limited Liability

Horry / Limited Liability

Horry / Limited Liability

Horry / Limited Liability

Horry / Corporation

618 CHESTNUT RD STE 103

1019 HWY 17 S STE 122

11746 HWY 17 BYPASS STE B

8382 STILL MEADOW DR

4105 MAIN ST

MYRTLE BEACH, SC 29572-5504

NORTH MYRTLE BEACH, SC 29582-3702

MURRELLS INLET, SC 29576

CONWAY, SC 29527

LORIS, SC 29569-3023

HOME CARE HELPERS USA LLC

HOME CARE OF MYRTLE BEACH LLC

HOME INSTEAD OF CHARLESTON LLC

HOPE AND FREEDOM HOME CARE LLC

J & R ANGELS CARE SERVICES LLC

SHANTILAL LLC

PALMETTO PERSONAL CARE SERVICES INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 56: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 56 of 103

PRN HOME CARE SERVICES

RIGHT AT HOME MYRTLE BEACH

SANDHILLS INTERGRATED CARE

TRUSTED HOME CARE

VISITING ANGELS OF MYRTLE BEACH

WE CARE HOME CARE

BRIGHTER DAY AT HOME LLC

1500 HWY 17 NORTH STE 201-H

1500 HWY 17 N STE 106

3993 MEETING ST

287-9 HWY 90 E

2105 CROMLEY CIR STE D

1200 MAIN ST STE E

533 S GREEN ST

SURFSIDE BEACH, SC 29575 FACILITY #:843-655-4612

SURFSIDE BEACH, SC 29575 FACILITY #:843-651-4848

LORIS, SC 29569 FACILITY #:843-756-3008

LITTLE RIVER, SC 29566 FACILITY #:843-663-0249

MYRTLE BEACH, SC 29577-3168 FACILITY #:843-970-2888

CONWAY, SC 29526 FACILITY #:843-488-2972

RIDGELAND, SC 29936 FACILITY #:843-547-1212

PH#:

PH#:

WARD BRITTANY M PH#:

PARKER SARAH PH#: 843-663-0249

NAGY MELANIE D PH#:

PACE NICOLE PH#: 843-488-2972

HAMPTON TANETTA PH#:

IHCP-0799 / 11/30/2020

IHCP-0294 / 08/31/2020

IHCP-0904 / 11/30/2020

IHCP-0807 / 01/31/2021

IHCP-0491 / 12/31/2020

IHCP-1073 / 04/30/2021

IHCP-1051 / 11/30/2020

Horry / Limited Liability

Horry / Limited Liability

Horry / Corporation

Horry / Limited Liability

Horry / Limited Liability

Horry / Limited Liability

Jasper / Limited Liability

PO BOX 2745

1500 HWY 17 N STE 106

586 INDIGO BAY CIR

2105 CROMLEY CIR STE D

MURRELLS INLET, SC 29576

SURFSIDE BEACH, SC 29575

MYRTLE BEACH, SC 29579

MYRTLE BEACH, SC 29577-3168

PRN HOME CARE SERVICES LLC

IN HOME CARE & ASSISTANCE LLC

SANDHILLS INTERGRATED CARE INC

SAI ENTERPRISE GROUP LLC

HOME CARE SERVICES OF MYRTLE BEACH LLC

WE CARE HOME CARE GROUP LLC

BRIGHTER DAY AT HOME LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 57: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 57 of 103

CARING HANDS HEALTH CARE LLC

COMPASSION HEALTHCARE INC

BELL'S HOME CARE PROFESSIONALS

CARING FOR AGING BEAUTIES HOME CARE

DEVOTED DIVAS HOME HEALTH CARE LLC

GRACE AND MERCY HOME CARE

RETIREEASE SENIOR SERVICES - (IN HOME CARE PROVIDER)

61 RIVERWALK BLVD UNIT C

488 BROWNS COVE RD BLDG A STE 1

6 LORNA CT

20 TOWNLEE LN STE D E F

1361 SMYRNA RD

2039 W DEKALB ST STE 2

12 DOOLEY DR

RIDGELAND, SC 29936 FACILITY #:843-987-0400

RIDGELAND, SC 29936 FACILITY #:843-645-2273

ELGIN, SC 29045 FACILITY #:803-240-0911

LUGOFF, SC 29078 FACILITY #:803-272-0584

ELGIN, SC 29045 FACILITY #:803-408-0042

CAMDEN, SC 29020 FACILITY #:803-310-5280

LUGOFF, SC 29078 FACILITY #:803-408-1500

PH#:

PH#:

BELL DONOVAN PH#: 803-429-9828

HAYES KESHA L PH#: 803-926-8600

PH#:

WHITE KENNETH PH#: 803-310-5280

BASTIAN DERRICK PH#: 803-408-1502

IHCP-0124 / 04/30/2021

IHCP-0232 / 07/31/2020

IHCP-0944 / 04/30/2021

IHCP-1014 / 04/30/2021

IHCP-0571 / 07/31/2020

IHCP-0257 / 07/31/2020

IHCP-0188 / 06/30/2021

Jasper / Limited Liability

Jasper / Corporation

Kershaw / Limited Liability

Kershaw / Limited Liability

Kershaw / Limited Liability

Kershaw / Limited Liability

Kershaw / Corporation

61 RIVERWALK BLVD UNIT C

488 BROWNS COVE RD BLDG A STE 1

1361 SMYRNA RD

402F DICEY FORD RD

1670 SPRINGDALE DR STE 9, 101

RIDGELAND, SC 29936

RIDGELAND, SC 29936

ELGIN, SC 29045

CAMDEN, SC 29020

CAMDEN, SC 29020

CARING HANDS HEALTH CARE LLC

COMPASSION HEALTHCARE INC

BELL'S HOME CARE PROFESSIONALS LLC

CARING FOR AGING BEAUTIES HOME CARE LLC

DEVOTED DIVAS HOME HEATLH CARE LLC

RUBEN GRAY

RETIREEASE SENIOR SERVICES INC - (IN HOME CARE PROVIDER)

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 58: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 58 of 103

SMILES HOME CARE LLP

A&T CARE - KERSHAW

CARING MATTERS HOME CARE

CHOSEN HANDS IN HOME CARE

CRYSTAL CLEAR HOME CARE INC

FIRST LIGHT HOME CARE- LANCASTER

GOLDEN CARE IN HOME PERSONAL CARE

107 STANDARD WAREHOUSE RD

207 W SUMTER ST

1050 FORBES RD

524 ECHO WOODS DR

405 E GAY ST

106C WOODLAND DR

403 W MEETING ST

LUGOFF, SC 29078 FACILITY #:803-408-1197

KERSHAW, SC 29067 FACILITY #:803-577-1776

FORT MILL, SC 29707 FACILITY #:803-548-1791

LANCASTER, SC 29720 FACILITY #:803-288-2928

LANCASTER, SC 29720 FACILITY #:803-804-2674

LANCASTER, SC 29720 FACILITY #:803-792-9199

LANCASTER, SC 29720-2321 FACILITY #:803-416-8000

PH#:

BARBER AMELIA A PH#: 803-287-6801

BROWN WILLIAM T PH#: 980-474-1751

WILLIAMS JAMESILA PH#:

MONTGOMERY PATIENCE PH#:

LYONS CLARENCE PH#: 803-804-3729

GOLDSMITH JOSEPH PH#: 803-416-8000

IHCP-0448 / 05/31/2021

IHCP-0583 / 08/31/2020

IHCP-0594 / 11/30/2019 (Renewal Pending)

IHCP-1033 / 05/31/2021

IHCP-0640 / 08/31/2020

IHCP-1004 / 05/31/2020 (Renewal Pending)

IHCP-0053 / 02/28/2021

Kershaw / Limited Liability Limited Partnership

Lancaster / Corporation

Lancaster / Limited Liability

Lancaster / Limited Liability

Lancaster / Corporation

Lancaster / Limited Liability

Lancaster / Corporation

107 STANDARD WAREHOUSE RD

207 W SUMTER ST

14215 LYNDERWOOD CT

405 E GAY ST

403 W MEETING ST

LUGOFF, SC 29078

KERSHAW, SC 29067

CHARLOTTE, NC 28273

LANCASTER, SC 29720

LANCASTER, SC 29720-2321

SMILES HOME CARE LLP

A&T CARE

BECKON OF HOPE

CHOSEN HANDS IN HOME CARE LLC

CRYSTAL CLEAR HOME CARE INC

LYONS LEGACY PARTNERS LLC

GOLDENCARE INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

Page 59: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 59 of 103

HOME HELPERS & DIRECT LINK OF FAIRFIELD SC

INDEPENDENT LIVING HOME CARE AGENCY

OMNI SENIOR CARE

ELITE HOME CARE LAURENS

MARTHA FRANKS HOME CARE

PEACE LOVE GLORY IN HOME CARE LLC

ALL WAYS CARING HOMECARE COLUMBIA

1553 LYNWOOD DR

8931 N DORCHESTER TRACE

27050 SANDERLING CT

311 N HARPER ST

1 MARTHA FRANKS DR

109 E CHURCH STREET UNIT E

455 SAINT ANDREWS RD BLDG A STE 1

LANCASTER, SC 29720 FACILITY #:770-403-6062

FORT MILL, SC 29707 FACILITY #:803-398-3733

INDIAN LAND, SC 29707 FACILITY #:803-850-0057

LAURENS, SC 29360 FACILITY #:864-869-8730

LAURENS, SC 29360-1799 FACILITY #:864-984-4541

BISHOPVILLE, SC 29010 FACILITY #:803-484-4014

COLUMBIA, SC 29210-4487 FACILITY #:803-772-3060

PH#:

PH#:

MORAN MARILYN PH#:

SPENCER VICTORIA PH#: 864-869-8730

FRANKS POLLYANNA PH#: 864-984-4541

PH#:

DENT SMITH LAURIE PH#: 706-726-4975

IHCP-0501 / 04/30/2020 (Renewal Pending)

IHCP-0953 / 02/28/2021

IHCP-1102 / 09/30/2020

IHCP-1091 / 07/31/2020

IHCP-0529 / 03/31/2021

IHCP-0696 / 03/31/2021

IHCP-0170 / 06/30/2021

Lancaster / Limited Liability

Lancaster / Limited Liability

Lancaster / Limited Liability

Laurens / Limited Liability

Laurens / Non-Profit Corporation

Lee / Sole Proprietorship

Lexington / Corporation

1553 LYNWOOD DR

109-E CHURCH ST

455 SAINT ANDREWS RD BUILDING A STE 1

LANCASTER, SC 29720

BISHOPVILLE, SC 29010

COLUMBIA, SC 29210

OHM HELPERS LLC

INDEPENDENT LIVING HOME CARE AGENCY LLC

OMNI HEALTH SERVICES LLC

ELITE HOME CARE LLC DBA ELITE HOME CARE LAURENS

MARTHA FRANKS BAPTIST RETIREMENT COMMUNITY

MCKNIGHT MARILYN

SOUTHERN HOME CARE SERVICES INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

Page 60: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 60 of 103

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

4727-C SUNSET BLVD

203 OLD CHAPIN RD UNIT 211

1710 SUNSET BLVD STE B

5 CLUSTERS CT STE 106

114 HAYGOOD ST STE A

200 CLARK ST STE 107

429 E BOUNDARY ST

LEXINGTON, SC 29072-9151 FACILITY #:803-951-0771

LEXINGTON, SC 29072-2083 FACILITY #:803-661-7557

WEST COLUMBIA, SC 29169 FACILITY #:803-888-7857

COLUMBIA, SC 29210 FACILITY #:803-618-3167

LEXINGTON, SC 29072 FACILITY #:803-358-8315

CHAPIN, SC 29036-8633 FACILITY #:803-941-7231

CHAPIN, SC 29036-8388 FACILITY #:803-345-8745

PH#:

PH#:

BROWN DAVETTE PH#: 803-888-7857

PH#:

WHITTELSEY SUSAN PH#: 843-837-3773

PH#:

EDWARDS DAVID PH#: 803-345-8745

IHCP-0216 / 07/31/2020

IHCP-0494 / 05/31/2021

IHCP-0553 / 05/31/2021

IHCP-0848 / 04/30/2021

IHCP-0830 / 09/30/2020

IHCP-0112 / 04/30/2021

IHCP-0513 / 02/28/2021

Lexington / Corporation

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability

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

ALLCAREGIVERS INC

TEAM JAYNE LLC

ATTENTIVE ANGELS HOME CARE

PREMIERE BUSINESS PURSUITS

S S & J ASSOCIATES LLC

BROOK HEALTH CARE LLC

GEN-ED LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

[email protected]

Page 61: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 61 of 103

CARING HEALTHCARE INC

COMFORT KEEPERS OF WEST COLUMBIA

COMPASSIONATE CAREGIVERS LLC

COMPASSIONATE HEARTS HOME SERVICES

CORA CARE

DAYBREAK ADULT CARE SERVICES

DEVOTED CARE AND TRANSITION SERVICES LLC

6 B BUSH RIVER CT

3214 LEAPHART RD STE C

150 FURTICK RD

102 HARMON ST

101 MEDICAL CIR

123 LIBRARY HILL LN STE A

2821 ASHLAND RD STE C

COLUMBIA, SC 29210-4858 FACILITY #:803-772-2231

WEST COLUMBIA, SC 29169-3005 FACILITY #:803-739-4442

SWANSEA, SC 29160 FACILITY #:803-904-8001

LEXINGTON, SC 29072 FACILITY #:803-467-1343

WEST COLUMBIA, SC 29169-3655 FACILITY #:803-791-8086

LEXINGTON, SC 29072-3895 FACILITY #:803-356-4451

COLUMBIA, SC 29210 FACILITY #:803-764-1163

PH#:

PH#:

WILLIAMS SHANNON PH#: 803-262-1766

PATTERSON ANDREA PH#: 803-467-1343

BROWNE MELISSA SPROUSE PH#:

PH#:

WOODARD TAMIKA PH#: 803-764-1163

IHCP-0145 / 05/31/2021

IHCP-0221 / 07/31/2020

IHCP-0934 / 11/30/2020

IHCP-1090 / 07/31/2020

IHCP-1045 / 06/30/2020 (Renewal Pending)

IHCP-0003 / 12/31/2020

IHCP-0117 / 04/30/2020 (Renewal Pending)

Lexington / Corporation

Lexington / Corporation

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Corporation

Lexington / Limited Liability

6 B BUSH RIVER CT

3214 LEAPHART RD STE C

123 LIBRARY HILL LN STE A

2821 ASHLAND RD STE C

COLUMBIA, SC 29210-4858

WEST COLUMBIA, SC 29169-3005

LEXINGTON, SC 29072-3895

COLUMBIA, SC 29210

CARING HEALTHCARE INC

BLAKEMORE & DUNN INC

COMPASSIONATE CAREGIVERS LLC

COMPASSIONATE HEARTS HOME SERVICES LLC

CORA CARE LLC

DAYBREAK ADULT CARE SERVICES INC

DEVOTED CARE AND TRANSITION SERVICES LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 62: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 62 of 103

DLORAH HOME CARE SERVICES

FIRSTLIGHT HOMECARE OF COLUMBIA

GRACE CAREGIVERS LLC

GRACIOUS HANDS HOME CARE LLC

HANDS AND HEARTS HOME CARE

HEALTHWISE PERSONAL SERVICES

HEARTFELT HOME CARE LLC

3600 FERNANDINA RD

1309 AUGUSTA RD

1483 OLD CHEROKEE RD

108 COPPER RIDGE RD

153 DREHER RD

3039 LEAPHART RD UNIT A

6236 ST ANDREWS RD STE 2

COLUMBIA, SC 29210-5221 FACILITY #:803-798-1300

WEST COLUMBIA, SC 29169 FACILITY #:803-356-0916

LEXINGTON, SC 29072-3612 FACILITY #:803-399-8014

COLUMBIA, SC 29212 FACILITY #:803-730-3006

WEST COLUMIA, SC 29169 FACILITY #:803-926-1669

WEST COLUMBIA, SC 29169 FACILITY #:803-393-3550

COLUMBIA, SC 29212 FACILITY #:803-331-3391

PH#:

PH#:

PH#:

SANDERS DEE PH#: 803-730-3006

PH#:

KINARD PHILLIP B PH#: 803-393-3550

PH#:

IHCP-0152 / 05/31/2021

IHCP-0065 / 02/28/2021

IHCP-0722 / 05/31/2021

IHCP-0626 / 09/30/2020

IHCP-0095 / 04/30/2021

IHCP-1031 / 03/31/2021

IHCP-0560 / 05/31/2021

Lexington / Limited Liability

Lexington /

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability

PO BOX 210594

1309 AUGUSTA RD

105 WOOD DALE DR

108 COPPER RIDGE RD

1213 STATE ST

6236 ST ANDREWS RD STE 2

COLUMBIA, SC 29221-0594

WEST COLUMBIA, SC 29169

LEXINGTON, SC 29072

COLUMBIA, SC 29212

CAYCE, SC 29033

COLUMBIA, SC 29212

DLORAH LLC

PRICELESS HOMECARE LLC

GRACE CAREGIVERS LLC

GRACIOUS HANDS HOME CARE LLC

HANDS AND HEARTS HOME CARE LLC

HEALTHWISE PERSONAL SERVICES LLC

HEARTFELT HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

Page 63: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 63 of 103

HOMECARE SOLUTIONS SC

IN HOME CARE SERVICES

KEY CHOICE HOME CARE

KOGER HOME CARE

MCLEOD HOME CARE

MICHAELA'S ANGELIC CAREGIVERS

MIDLANDS BE WELL HOME SERVICES

100 ASHLAND PARK LN STE C

3286 FISH HATCHERY RD

322A S LAKE DR, STE 3

1625 CHARLESTON HWY STE C 2ND LEVEL

304 KENWOOD DR

455 ST ANDREWS ROAD BUILDING D STE 3A

102 FORTRESS DR

COLUMBIA, SC 29210 FACILITY #:803-764-7559

GASTON, SC 29053 FACILITY #:803-682-3977

LEXINGTON, SC 29072 FACILITY #:803-485-1284

WEST COLUMBIA, SC 29169 FACILITY #:803-794-9740

LEXINGTON, SC 29072 FACILITY #:803-233-1399

COLUMBIA, SC 29210 FACILITY #:803-497-3120

CHAPIN, SC 29036 FACILITY #:803-251-4670

TUTTLE JR DAVID ALAN PH#: 803-764-7559

HIGHTOWER ANDRE PH#: 803-671-4631

PH#:

PH#:

PH#:

PH#:

COOPER CATHI PH#: 803-251-4670

IHCP-0775 / 09/30/2020

IHCP-0683 / 03/31/2021

IHCP-0292 / 09/30/2020

IHCP-0613 / 09/30/2020

IHCP-0741 / 07/31/2020

IHCP-0998 / 03/31/2021

IHCP-0050 / 01/31/2021

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Non-Profit Corporation

100 ASHLAND PARK LN STE C

132 BENTGRASS LN

PO BOX 84246

1925 CHARLESTON HWY STE C 2ND LEVEL

PO BOX 805

COLUMBIA, SC 29210

GASTON, SC 29053

LEXINGTON, SC 29072

WEST COLUMBIA, SC 29169

WHITE ROCK, SC 29177

HOMECARE SOLUTIONS SC LLC

IN HOME CARE SERVICES DEVELOPMENT LLC

KEY CARE HEALTH SERVICES LLC

KOGER HOME CARE LLC

MCLEOD HOME CARE LLC

MICHAELA'S ANGELIC CAREGIVERS LLC

LUTHERAN HOMES OF SOUTH CAROLINA INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 64: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 64 of 103

PERSONAL CARE PLUS LLC

RIGHT AT HOME - COLUMBIA

SAFE HAVEN AT HOME CARE SERVICES

SHELIA'S HELPING HANDS

SHEPPARD'S HELPING HANDS

SOLUTIONS FOR LIVING AT HOME

SUPERIOR CARE TEAM

989 KNOX ABBOTT DR STE 110

1904 SUNSET BLVD STE D

989 KNOX ABBOTT DR STE 107

2052 INDUSTRIAL BLVD

311 W COLUMBIA AVE

945 9TH ST

1508 EMORY CT

CAYCE, SC 29033 FACILITY #:803-794-4060

WEST COLUMBIA, SC 29169 FACILITY #:803-551-4004

CAYCE, SC 29033 FACILITY #:803-605-2666

LEXINGTON, SC 29072 FACILITY #:803-490-3076

BATESBURG, SC 29006 FACILITY #:803-687-1613

CAYCE, SC 29033-3343 FACILITY #:803-223-6173

COLUMBIA, SC 29212 FACILITY #:803-661-0240

PH#:

BROWN MICHAEL PH#: 803-551-4004

PH#:

PH#:

PH#:

ILDERTON ESTHER PH#:

PH#:

IHCP-0307 / 09/30/2020

IHCP-0029 / 10/31/2020

IHCP-1215 / 05/31/2021

IHCP-0938 / 12/31/2020

IHCP-0175 / 06/30/2021

IHCP-0341 / 11/30/2020

IHCP-0794 / 11/30/2020

Lexington / Limited Liability

Lexington / Corporation

Lexington / Limited Liability

Lexington / Limited Liability

Lexington / Limited Liability Company (single member)

Lexington / Corporation

Lexington / Limited Liability

PO BOX 4506

1904 SUNSET BLVD STE D

311 W COLUMBIA AVE

PO BOX 2959

1508 EMORY CT

WEST COLUMBIA, SC 29171-4506

WEST COLUMBIA, SC 29169

BATESBURG, SC 29006

WEST COLUMBIA, SC 29171-2959

COLUMBIA, SC 29212

PERSONAL CARE PLUS LLC

BROWN AND ASSOCIATES HOME HEALTH SERVICES INC

SAFE HAVEN AT HOME CARE SERVICES LLC

SHELIA'S HELPING HANDS LLC

SHEPPARD S HELPING HANDS LLC

SC EPISCOPAL HOME AT STILL HOPES

SUPERIOR CARE TEAM LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 65: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 65 of 103

ULTRA HOME CARE SERVICES LLC

COMFORT HANDS HOME CARE LLC

EAGLE NURSING

FRANKLIN IN HOME CARE AGENCY

GUARDIAN ANGELS PROFESSIONAL SERVICES

JOAN'S HEALTH CARE LLC

LESTER'S MENDING HEARTS HOME CARE

4031 CHARLESTON HWY

200 W LIBERTY ST

419B N PARK ST

410 N MAIN ST

2614 EAST HWY 76 STE E

2524 EAST HWY 76 UNIT B1

2307 EAST HWY 76

WEST COLUMBIA, SC 29172-2907 FACILITY #:803-269-8170

MARION, SC 29571 FACILITY #:240-472-8400

MULLINS, SC 29574 FACILITY #:843-426-3328

MARION, SC 29571 FACILITY #:843-765-3212

MARION, SC 29571 FACILITY #:843-765-3061

MARION, SC 29571 FACILITY #:336-225-5899

MARION, SC 29571 FACILITY #:843-507-9911

JAMISON FELICIA D PH#: 803-767-3834

MORRIS TIWANA PH#: 240-728-8400

GIBBS ELISA PH#:

AITKENS YVETTE PH#: 843-765-3212

MONTGOMERY PATRICIA A PH#: 843-765-3067

FEATHERSON FELICIA PH#: 336-255-5899

PH#:

IHCP-1036 / 10/31/2020

IHCP-1054 / 06/30/2020 (Renewal Pending)

IHCP-0924 / 04/30/2021

IHCP-0247 / 07/31/2020

IHCP-0790 / 11/30/2020

IHCP-0903 / 08/31/2020

IHCP-1002 / 02/28/2021

Lexington / Limited Liability

Marion / Limited Liability

Marion / Limited Liability

Marion / Limited Liability

Marion / Limited Liability

Marion / Limited Liability

Marion / Limited Liability

PO BOX 1074MARION, SC 29571

ULTRA HOME CARE SERVICES LLC

COMFORT HANDS HOME CARE LLC

EAGLE NURSING LLC

FRANKLIN HOME HEALTH AGENCY

GUARDIAN ANGELS PROFESSIONAL SERVICES LLC

JOAN'S HEALTH CARE LLC

LESTER'S MENDING HEARTS HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

Page 66: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 66 of 103

PROFESSIONAL NURSING SERVICES INC

TOUCHING HEARTS HOME CARE AGENCY

COMMUNITY HOME CARE OF SOUTH CAROLINA LLC

ENHANCED CARE

PRIORITY ONE

A C T CARE SERVICES

ANGEL CARE HOME CARE LLC

115 W FAIRLEE ST

304 N MAIN ST

201B S MAIN ST

118B S LIBERTY ST

655 CHERAW ST

126 WILLIAMS WOOD DR

1303 MAIN ST STE 413

MARION, SC 29571 FACILITY #:843-289-5200

MARION, SC 29571 FACILITY #:843-423-0296

MCCOLL, SC 29570-2020 FACILITY #:843-400-5040

BENNETTSVILLE, SC 29512 FACILITY #:843-456-5088

BENNETTSVILLE, SC 29512 FACILITY #:843-479-2597

PROSPERITY, SC 29127 FACILITY #:803-271-1353

NEWBERRY, SC 29108 FACILITY #:803-321-1087

PH#:

PH#:

PH#:

PH#:

PH#:

PH#:

PH#:

IHCP-0427 / 12/31/2020

IHCP-0335 / 08/31/2020

IHCP-0244 / 07/31/2020

IHCP-0705 / 05/31/2021

IHCP-0141 / 05/31/2021

IHCP-1144 / 10/31/2020

IHCP-0251 / 06/30/2021

Marion / Corporation

Marion / Limited Liability

Marlboro / Limited Liability

Marlboro / Limited Liability

Marlboro / Corporation

Newberry / Limited Liability

Newberry / Limited Liability

PO BOX 723

304 N MAIN ST

547 7 LKS N

2020 BROOKLYN LN

PO BOX 946

PO BOX 626

MARION, SC 29571

MARION, SC 29571

WEST END, NC 27376

ROCKINGHAM, NC 28379

BENNETTSVILLE, SC 29512

NEWBERRY, SC 29108

PROFESSIONAL NURSING SERVICES INC

TOUCHING HEARTS HOME CARE AGENCY

COMMUNITY HOME CARE LLC

ENHANCED CARE LLC

PRIORITY ONE HOME HEALTHCARE INC

A C T CARE SERVICES LLC

ANGEL CARE HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 67: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 67 of 103

AT HOME SENIOR CARE

COMFORCARE HOME CARE-ANDERSON SC

GOLDEN CORNER HOME CARE

HOME INSTEAD SENIOR CARE PICKENS AND OCONEE COUNTY

LOVING IN-HOME CARE

NO PLACE LIKE HOME OF SOUTH CAROLINA - SENECA

A VILLAGE HOME CARE LLC

1700 MAIN ST

135K EAGLES NEST DR

104 BROWNS SQUARE DR STE 101

115 BOUNTYLAND RD STE B

207 FISHERMAN LN

107 N OAK ST

1408 RUSSELL ST STE 15

NEWBERRY, SC 29108-3548 FACILITY #:803-801-0611

SENECA, SC 29678 FACILITY #:864-973-8955

WALHALLA, SC 29691 FACILITY #:864-590-6586

SENECA, SC 29672 FACILITY #:864-888-2929

SENECA, SC 29672-0565 FACILITY #:864-916-9204

SENECA, SC 29678-3219 FACILITY #:864-882-1154

ORANGEBURG, SC 29115 FACILITY #:803-937-5841

PH#:

MEANS KELLY PH#: 864-973-8955

LATHAN WILLIAM W PH#: 864-590-6586

SWAFFORD SABRINA PH#: 864-888-2929

PH#:

PH#:

PH#:

IHCP-0303 / 08/31/2020

IHCP-0758 / 08/31/2020

IHCP-0661 / 06/30/2020 (Renewal Pending)

IHCP-0556 / 06/30/2021

IHCP-0070 / 02/28/2021

IHCP-0245 / 07/31/2020

IHCP-1176 / 02/28/2021

Newberry / Limited Liability

Oconee / Corporation

Oconee / Limited Liability

Oconee / Corporation

Oconee / Corporation

Oconee / Corporation

Orangeburg / Limited Liability

1700 MAIN ST

135K EAGLES NEST DR

115 BOUNTYLAND RD STE B

207 FISHERMAN LN

1172 OLD SALEM RD

NEWBERRY, SC 29108-3548

SENECA, SC 29678

SENECA, SC 29672

SENECA, SC 29672-0565

CONYERS, GA 30094-5944

AT HOME SENIOR CARE

KELLY MEANS BUSINESS INC

GOLDEN CORNER HOME CARE LLC

SOUTHERN SENIOR CARE INC

LOVING HEALTH CARE INC

NO PLACE LIKE HOME OF SOUTH CAROLINA INC

A VILLAGE HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 68: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 68 of 103

ALL YOUR NEEDS HOME CARE SERVICES

BELMONT LUXURY HOME CARE LLC

COMFORT HOME CARE OF SC

DEAN'S PERSONAL CARE AND COMPANION SERVICES LLC

DESTINE TO DEFINE HOMECARE AGENCY LLC

LONGWOOD PLANTATION HOMECARE-FHE LLC

LONGWOOD PLANTATION HOMECARE-FHE LLC

133 BLVD ST

1706 CAMDEN RD

1117 DOYLE ST

2717 MAGNOLIA ST

969 DANTZLER ST

1687 LONGWOOD DR

1687 LONGWOOD DR

ORANGEBURG, SC 29115 FACILITY #:803-997-2656

HOLLY HILL, SC 29059-8937 FACILITY #:803-496-1076

ORANGEBURG, SC 29115-4797 FACILITY #:803-536-3331

ORANGEBURG, SC 29115-2502 FACILITY #:803-533-7410

ORANGEBURG, SC 29115 FACILITY #:803-387-2273

ORANGEBURG, SC 29118-2307 FACILITY #:803-535-0250

ORANGEBURG, SC 29118-2307 FACILITY #:770-500-2705

BENJAMIN YORONICA PH#: 803-997-2656

RIGGINS MARY PH#: 803-496-1076

GREEN STAPHINE PH#: 803-261-1405

LAWRENCE LEONARD PH#: 803-533-7410

FLOOD TRACY PH#: 803-387-2273

CALVERT DOUG PH#: 803-268-9990

CALVERT DOUG PH#: 803-268-9990

IHCP-0744 / 07/31/2020

IHCP-0302 / 09/30/2020

IHCP-0369 / 10/31/2020

IHCP-0172 / 06/30/2020 (Renewal Pending)

IHCP-0941 / 12/31/2020

IHCP-0071 / 02/28/2021

IHCP-0071 / 02/28/2021

Orangeburg / Limited Liability

Orangeburg / Limited Liability

Orangeburg / Corporation

Orangeburg / Limited Liability

Orangeburg / Limited Liability

Orangeburg / Limited Liability

Orangeburg / Limited Liability

133 BLVD ST

1706 CAMDEN RD

100 OLD CHEROKEE RD STE F

2717 MAGNOLIA ST

1687 LONGWOOD DR

1687 LONGWOOD DR

ORANGEBURG, SC 29115

HOLLY HILL, SC 29059-8937

LEXINGTON, SC 29072-7959

ORANGEBURG, SC 29115-2502

ORANGEBURG, SC 29118-2307

ORANGEBURG, SC 29118-2307

ALL YOUR NEEDS HOME CARE SERVICES LLC

BELMONT LUXURY HOME CARE LLC

COMFORT HOME HEALTH CARE INC

DEAN'S PERSONAL CARE AND COMPANION SERVICES LLC

DESTINE TO DEFINE HOMECARE AGENCY LLC

LONGWOOD PLANTATION HOMECARE-FHE LLC

LONGWOOD PLANTATION HOMECARE-FHE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

Page 69: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 69 of 103

NEW BEGINNINGS DIABETIC & HOME CARE SERVICES INC

PREMIER HOME CARE

ROPHEKA CARES LLC

SAFE HAVEN IN-HOME CARE LLC

SAMARITAN BED AND BATH SERVICES INC - ORANGEBURG

SANTEE IN HOME CARE

SENIOR SOLUTIONS

1300 GLEN GLORIA ST

416-A GARDNER BLVD

2037 SAINT MATTHEWS RD

754 BASS DR

4404 ST MATTHEWS RD

1580 BASS DR

1000 METHODIST OAKS DR

ORANGEBURG, SC 29118-2538 FACILITY #:803-531-3339

HOLLY HILL, SC 29059 FACILITY #:803-496-2597

ORANGEBURG, SC 29118 FACILITY #:803-515-4617

SANTEE, SC 29142 FACILITY #:803-854-0800

ST. MATTHEWS, SC 29135 FACILITY #:864-351-9274

SANTEE, SC 29142 FACILITY #:803-854-2401

ORANGEBURG, SC 29116 FACILITY #:803-534-1212

JARVIS FLORENDA GAIL PH#: 803-531-3339

LOUIS-JEAN PASCALE PH#: 803-708-2405

PH#:

LAWRENCE LEONARD D PH#: 803-854-0800

PH#:

PH#:

FANNING RACHEL B PH#: 803-534-1212

IHCP-0241 / 07/31/2020

IHCP-0788 / 12/31/2020

IHCP-0230 / 07/31/2021

IHCP-0144 / 05/31/2021

IHCP-0785 / 12/31/2019 (Renewal Pending)

IHCP-0440 / 11/30/2020

IHCP-0325 / 11/30/2020

Orangeburg /

Orangeburg / Limited Liability

Orangeburg / Limited Liability

Orangeburg / Limited Liability

Orangeburg / Corporation

Orangeburg / Limited Liability

Orangeburg /

1300 GLEN GLORIA ST

18 KEENELAND TRAIL

PO BOX 1704

PO BOX 353

403 N MAIN ST

PO BOX 947

1000 METHODIST OAKS DR

ORANGEBURG, SC 29118-2538

BLYTHEWOOD, SC 29016

ORANGEBURG, SC 29116

SANTEE, SC 29142

TRAVELERS REST, SC 29690

SANTEE, SC 29142-0381

ORANGEBURG, SC 29115-1813

NEW BEGINNINGS DIABETIC & HOME CARE SERVICES INC

PREMIER HOME CARE LLC

ROPHEKA CARES LLC

SAFE HAVEN IN-HOME CARE LLC

SAMARITAN BED AND BATH SERVICES INC

SANTEE ADULT DAYCARE LLC

THE METHODIST OAKS

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 70: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 70 of 103

WRIGHT WAY COMMUNITY HEALTHCARE CONSULTANTS

A HAND TO HOLD

ADDUS HOMECARE- AUGUSTA

BLESS INTO UNIQUE CARE AGENCY

BLUEDOT CARES

CAREMASTER MEDICAL SERVICES

CAREPOINT HOME CARE SERVICES

960 DANTZLER ST

125 PARK OF COMMERCE DR STE 203

149 DAVIS RD STE D

415 E WOODLAWN RD UNIT 6

2915 WHITEHALL PARK DR STE 200

240 ODELL RD

6401 CARMEL RD STE 106

ORANGEBURG, SC 29115 FACILITY #:803-937-5823

SAVANNAH, GA 31405 FACILITY #:404-323-2255

AUGUSTA, GA 30907 FACILITY #:708-869-7826

CHARLOTTE, NC 28209 FACILITY #:803-524-2741

CHARLOTTE, NC 28273 FACILITY #:704-247-8725

GRIFFIN, GA 30224 FACILITY #:770-227-1264

CHARLOTTE, NC 28226 FACILITY #:980-226-5516

WRIGHT EDRIAN PH#: 803-937-5823

COOPER SHELLEY PH#: 000-000-0000

KUMARICH DIANE PH#: 360-296-3400

KEYS ASHLEY PH#:

CLONARIS JIMMY PH#: 704-247-8725

LAMB DAVE PH#: 770-227-1264

RAHRIG HEATHER E PH#:

IHCP-0723 / 06/30/2021

IHCP-0632 / 03/31/2021

IHCP-1030 / 08/31/2020

IHCP-0900 / 09/30/2020

IHCP-0507 / 06/30/2020 (Renewal Pending)

IHCP-0779 / 02/28/2021

IHCP-0838 / 03/31/2021

Orangeburg / Limited Liability

Out of State / Corporation

Out of State / Corporation

Out of State / Sole Proprietorship

Out of State / Sole Proprietorship

Out of State / Corporation

Out of State / Corporation

129 JADE CIR

125 PARK OF COMMERCE DR STE 203

23OO WARRENVILLE RD STE 100

10345 NATIONS FORD RD

ORANGEBURG, SC 29115

SAVANNAH, GA 31404

DOWNERS GROVE, IL 60515

CHARLOTTE, NC 28273-5822

WRIGHT WAY COMMUNITY HEALTHCARE CONSULTANTS LLC

A HAND TO HOLD INC

ADDUS HEALTHCARE (SOUTH CAROLINA) INC

BLESS INTO UNIQUE CARE AGENCY

BUILDERBACK KEVIN

PROFESSIONAL REGISTERED NURSING POOL INC

CAREPOINT HOME CARE SERVICES INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

Page 71: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 71 of 103

CAROLINA HOME CARE SERVICES

COMFORCARE HOME CARE- GREATER CHARLOTTE

COMMITTED HANDS OF CARE

COMPASSIONATE COUNSELING SERVICES LLC

CORNERSTONE HEALTHCARE SERVICES LLC

ENSURE HEALTH SERVICES

FIRSTLIGHT HOME CARE

1728 FUNNY CIDE DR

7215-200 PINEVILLE MATTHEWS RD

1017 W 35TH ST

1219 ROCKINGHAM RD

2265 ROSWELL ROAD # 100

615 E 6TH ST STE 103

1 DRAGONFLY POINT

WAXHAW, NC 28173 FACILITY #:704-548-8949

CHARLOTTE, NC 28226 FACILITY #:704-543-0630

SAVANNAH, GA 31415 FACILITY #:888-328-0836

ROCKINGHAM, NC 28379 FACILITY #:910-817-9927

MARIETTA, GA 30062 FACILITY #:770-557-8252

CHARLOTTE, NC 28202 FACILITY #:704-438-9885

SAVANNAH, GA 31406 FACILITY #:843-422-3112

PH#:

CARDARELLI BILLIEJO PH#: 704-543-0630

HAMPTON-PRESCOTT CHRISTIAN PH#: 888-328-0836

NEWTON TIFFANY PH#: 910-817-9927

OSTERHOUT CLAUDIA PH#: 770-557-8252

SIMMONS VELDA PH#: 704-438-9885

PH#:

IHCP-0052 / 02/28/2021

IHCP-1062 / 10/31/2020

IHCP-0771 / 10/31/2020

IHCP-1083 / 11/30/2020

IHCP-0959 / 03/31/2021

IHCP-0937 / 11/30/2020

IHCP-0892 / 12/31/2019 (Renewal Pending)

Out of State / Corporation

Out of State / Corporation

Out of State / Limited Liability

Out of State / Limited Liability

Out of State / Limited Liability

Out of State / Corporation

Out of State / Limited Liability

1728 FUNNY CIDE DRWAXHAW, NC 28173CAROLINA HOME HEALTH CARE INC

CJC ENTERPRISE INC

COMMITTED HANDS OF CARE LLC

COMPASSIONATE COUNSELING SERVICES LLC

CORNERSTONE HEALTHCARE SERVICES LLC

ENSURE HEALTH SERVICE LLC

PRICELESS COASTAL HOMECARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

CLAUDIA@CORNERSTONEHEALTHCARESERVICES

[email protected]

No Fac Cont Email on record

Page 72: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 72 of 103

GOLDEN HEART SENIOR CARE OF CHARLOTTE

HANDLE WITH LOVING CARE LLC

HMC FAMILY SERVICES

HOME INSTEAD SENIOR CARE #788

HOME INSTEAD SENIOR CARE OF BEAUFORT & JASPER COUNTIES

HORIZON HEALTHCARE SERVICES1

HUNNINGTON HEALTHCARE SERVICES

1211 SPRING ST

130 TIBET AVE STE 207

8430 UNIVERSITY EXEC PARK DR STE 608

4210 COLUMBIA RD STE 13A

7505 WATERS AVE STE F1

1914 J N PEASE PL STE 170

1914 JN PEASE PL STE 168

CHARLOTTE, NC 28206 FACILITY #:704-376-1060

SAVANNAH, GA 31406 FACILITY #:912-412-2213

CHARLOTTE, NC 28262-1352 FACILITY #:704-548-0042

MARTINEZ, GA 30907-5405 FACILITY #:706-922-3601

SAVANNAH, GA 31406-3822 FACILITY #:912-355-0099

CHARLOTTE, NC 28216 FACILITY #:888-238-4078

CHARLOTTE, NC 28216 FACILITY #:980-434-9891

PH#:

MILTON CAROLYN PH#: 912-272-6406

PH#:

PH#:

THOMPSON SHANE PH#:

PH#:

OLIVER LISA PH#: 803-325-4052

IHCP-0441 / 08/31/2020

IHCP-0943 / 10/31/2020

IHCP-0322 / 03/31/2021

IHCP-0179 / 06/30/2021

IHCP-1050 / 02/29/2020 (Renewal Pending)

IHCP-0676 / 07/31/2020

IHCP-1180 / 05/31/2021

Out of State / Limited Liability

Out of State / Limited Liability

Out of State / Sole Proprietorship

Out of State / Ltd. Liability

Out of State / Limited Liability

Out of State / Limited Liability

Out of State / Limited Liability

2135 FERNCLIFF RD STE 207

10303 LEGOLAS LN

4143 COLUMBIA RD STE B

CHARLOTTE, NC 28211-2615

CHARLOTTE, NC 28269-7035

MARTINEZ, GA 30907-5405

SAVVY SMITHS LLC

HANDLE WITH LOVING CARE LLC

MERRIWETHER DOUGLAS

MEDIATOR SENIOR CARE LLC

MAGNOLIA HOME HEALTH LLC

AKULISNY ENTERPRISE LLC

WORLDWIDE OPPORTUNITIES LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 73: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 73 of 103

LENUS IN HOME CARE

LIVINGWELL HOME CARE

MAXIM HEALTHCARE SERVICES INC - AUGUSTA

MAXIM HEALTHCARE SERVICES INC - CHARLOTTE

MOTHERING ANGELS

NURSES AND MORE INC

REMAIN AT HOME SENIOR CARE

4236 COLUMBIA RD

301 MCCULLOUGH DR 4TH FLOOR

2743 PERIMETER PKWY BLDG 200, STE 220

1300 BAXTER ST STE 114

7314 YELLOWHORN TRAIL

1100 KENILWORTH AVE STE 205

3708 EXECUTIVE CENTER DR STE B

MARTINEZ, GA 30907 FACILITY #:706-955-8279

CHARLOTTE, NC 28262 FACILITY #:984-233-1334

AUGUSTA, GA 30909-6487 FACILITY #:706-619-2058

CHARLOTTE, NC 28204-3806 FACILITY #:704-366-1075

WAXHAW, NC 28173 FACILITY #:803-802-1050

CHARLOTTE, NC 28204-3079 FACILITY #:704-335-7241

MARTINEZ, GA 30907 FACILITY #:800-718-5658

HAMMOND PHYLLIS PH#:

PH#:

SIDLEY KIMBERLY PH#: 706-619-2058

WASHBURN TYLER PH#:

THOMPSON JOSEPH PH#:

PH#:

WILLIAMS JESSICA PH#:

IHCP-0662 / 02/28/2021

IHCP-1216 / 05/31/2021

IHCP-0270 / 09/30/2020

IHCP-0407 / 09/30/2020

IHCP-0891 / 09/30/2020

IHCP-0416 / 11/30/2020

IHCP-1019 / 06/30/2020 (Renewal Pending)

Out of State / Limited Liability

Out of State / Corporation

Out of State / Corporation

Out of State / Corporation

Out of State / Limited Liability

Out of State / Corporation

Out of State / Limited Liability

4236 COLUMBIA RD

7227 LEE DEFOREST DR

7227 LEE DEFOREST DR

1100 KENILWORTH AVE STE 205

MARTINEZ, GA 30907

COLUMBIA, MD 21046-3236

COLUMBIA, MD 21046-3236

CHARLOTTE, NC 28204-3079

ON CALL STAFFING LLC

LIVINGWELL HOME CARE INC

MAXIM HEALTHCARE SERVICES INC

MAXIM HEALTHCARE SERVICES INC

MOTHERING ANGELS LLC

NURSES AND MORE INC

REMAIN AT HOME SENIOR CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 74: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 74 of 103

VIGILANT HOME CARE

VISITING ANGELS OF AIKEN

YOUR CHOICE PERSONAL ASSISTING

ZEPPONE CARING HANDS HOMECARE LLC

ALWAYS THERE IN HOME CARE SC

CLEMSON IN HOME CARE

GATEWAY HOME CARE SERVICES LLC

600 TOWNE CENTER BLVD STE 102

119 DAVIS RD STE 6B

8400 ABERCORN ST 108-A

329 EISENHOWER DR STE B100

2612 EARLS BRIDGE RD

150 DOWNS BLVD

108 EMERALD CT

PINEVILLE, NC 28134 FACILITY #:980-819-5003

AUGUSTA, GA 30907 FACILITY #:706-955-4220

SAVANNAH, GA 31406 FACILITY #:912-417-4347

SAVANNAH, GA 31406 FACILITY #:912-349-5959

EASLEY, SC 29640 FACILITY #:864-859-1949

CLEMSON, SC 29631 FACILITY #:864-654-1155

LIBERTY, SC 29657 FACILITY #:864-421-5848

PH#:

PH#:

MCCOY-HALL CHARIESE PH#: 912-844-1344

ZEPPONE THEA PH#: 912-655-3356

PH#:

HILL JAMES A PH#:

HOLLAND CHARLES PH#: 864-421-5848

IHCP-0645 / 08/31/2020

IHCP-0984 / 05/31/2021

IHCP-1137 / 10/31/2020

IHCP-1112 / 08/31/2020

IHCP-0178 / 06/30/2020 (Renewal Pending)

IHCP-0490 / 03/31/2021

IHCP-1098 / 10/31/2020

Out of State / Limited Liability

Out of State / Limited Liability

Out of State / Limited Liability

Out of State / Limited Liability

Pickens / Limited Liability

Pickens / Corporation

Pickens / Limited Liability

6401 CARMEL RD STE 207

2612 EARLS BRIDGE RD

500 DOWNS LOOP

CHARLOTTE, NC 28226

EASLEY, SC 29640

CLEMSON, SC 29631-2099

VIGILANT HEALTHCARE STAFFING LLC

THE HOME CARE GROUP LLC

YOUR CHOICE PERSONAL ASSISTING LLC

ZEPPONE CARING HANDS HOMECARE LLC

DBN & SAF LLC

CARC INC

GATEWAY HOME CARE SERVICES LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 75: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 75 of 103

GRISWOLD HOME CARE - OCONEE PICKENS ANDERSON LAURENS

GUARDIAN HOME CARE

SITTERS REGISTRY LTD

ABOUNDING ANGELS HEALTH CARE LLC

ABUNDANT HOME CARE SOLUTIONS

ACCESS HEALTH CARE SERVICES INC OF COLUMBIA

ACTIKARE

422 COLLEGE AVE

28 S COMMERCE ST

300 COUCH LN

9153C TWO NOTCH RD

2712 MIDDLEBURG DR STE 224

106 DOCTORS CIR

10415 BROAD RIVER RD STE B

CLEMSON, SC 29631-2946 FACILITY #:864-442-6977

LIBERTY, SC 29657-1133 FACILITY #:864-843-4410

EASLEY, SC 29642 FACILITY #:864-859-4727

COLUMBIA, SC 29223-5832 FACILITY #:803-223-9178

COLUMBIA, SC 29204 FACILITY #:803-588-9158

COLUMBIA, SC 29203-6503 FACILITY #:803-509-8206

IRMO, SC 29063 FACILITY #:803-238-2968

PH#:

PH#:

PH#:

CARTER CARMEN PH#: 803-223-9178

STUDSTILL TANYA PH#:

PH#:

PH#:

IHCP-0108 / 04/30/2021

IHCP-0319 / 09/30/2020

IHCP-0447 / 09/30/2020

IHCP-0279 / 08/31/2020

IHCP-0886 / 03/31/2020 (Renewal Pending)

IHCP-0110 / 04/30/2021

IHCP-0355 / 05/31/2021

Pickens / Limited Liability

Pickens / Corporation

Pickens / Corporation

Richland / Sole Proprietorship

Richland / Limited Liability

Richland / Corporation

Richland / Limited Liability

422 COLLEGE AVE

28 S COMMERCE ST

PO BOX 278

PO BOX 23659

PO BOX 3580

354 POETS WALK

CLEMSON, SC 29631

LIBERTY, SC 29657-1133

EASLEY, SC 29641-0278

COLUMBIA, SC 29224-3659

COLUMBIA, SC 29230-3580

IRMO, SC 29063

TRINITY CARE LLC

QSB TECHNOLOGIES INC

SITTERS REGISTRY LTD

BELTON TROY D

ABUNDANT HOME CARE SOLUTIONS LLC

ACCESS HEALTH CARE SERVICES INC

ALIGNED CONSULTING LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 76: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 76 of 103

ACTS: OF LOVE HOME CARE AGENCY

ADDUS HOME CARE - COLUMBIA

ADVANCED TOTAL CARE

ALWAYS BEST CARE OF THE MIDLANDS

AMERICARE LLC

ANDERSON HOME CARE

ANGELIC HELPERS LLC

101 RICE BENT WAY UNIT 3

1612 MARION ST STE 103

9600 TWO NOTCH RD STE 5

3800 FOREST DR STE C-201

619 CHATHAM AVE

409 LONGTOWN RD

3905 W BELTLINE BLVD STE 3002

COLUMBIA, SC 29229 FACILITY #:803-661-9642

COLUMBIA, SC 29201-2939 FACILITY #:803-758-4000

COLUMBIA, SC 29223 FACILITY #:803-200-3079

COLUMBIA, SC 29204 FACILITY #:803-403-1895

COLUMBIA, SC 29205 FACILITY #:803-765-4616

COLUMBIA, SC 29229-8554 FACILITY #:888-513-5972

COLUMBIA, SC 29204 FACILITY #:803-447-1065

ROBERTSON DIMETRIUS PH#: 803-960-3163

PH#:

DANIELS ARTESIA PH#: 803-200-3079

PH#:

PH#:

PH#:

ALSTON-SMITH STEPHANIE PH#: 803-447-1065

IHCP-0700 / 06/30/2021

IHCP-0195 / 06/30/2021

IHCP-1174 / 06/30/2021

IHCP-0058 / 01/31/2021

IHCP-0550 / 06/30/2020 (Renewal Pending)

IHCP-0715 / 07/31/2020

IHCP-1107 / 08/31/2020

Richland / Limited Liability

Richland / Corporation

Richland / Corporation

Richland / Corporation

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

1 SWEET KNOLL CT

2300 WARRENVILLE RD STE 100

3800 FOREST DR STE C-201

619 CHATHAM AVE

10 CRANLEY CT

COLUMBIA, SC 29229

DOWNERS GROVE, IL 60515-1700

COLUMBIA, SC 29204

COLUMBIA, SC 29205

COLUMBIA, SC 29229

ACTS: OF LOVE HOME CARE AGENCY LLC

ADDUS HEALTHCARE (SOUTH CAROLINA) INC DBA ADDUS HOME CARE

ATC-ADVANCED TOTAL CARE

NLR SERVICES INC

AMERICARE LLC

ANDERSON HOME HEALTH CARE LLC

ANGELIC HELPERS LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 77: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 77 of 103

ASPIRE STAFFING

ASSISTED CARE SERVICES INC

BAYADA HOME CARE - COLUMBIA INC

BENEVOLANCE HOME CARE

BLUE CAPITAL HOMECARE

BRIGHTSTAR CARE OF COLUMBIA

CAROLINA HEALTH CARE

300 BERKSHIRE DR STE A

2700 MIDDLEBURG DR STE 217

900 ELMWOOD AVE STE 101 & 103

1322 KINGSVILLE RD

2360 BYRNES DR

1701 DEVONSHIRE DR STE 102

1403 CALHOUN ST

COLUMBIA, SC 29223 FACILITY #:803-939-6147

COLUMBIA, SC 29204 FACILITY #:803-400-1601

COLUMBIA, SC 29201 FACILITY #:803-252-1004

GADSDEN, SC 29052 FACILITY #:803-647-9321

COLUMBIA, SC 29204 FACILITY #:803-630-1494

COLUMBIA, SC 29204 FACILITY #:803-881-7400

COLUMBIA, SC 29201 FACILITY #:803-256-2728

TAYLOR TOMEKA PH#: 803-873-5723

KILGORE ANNA J PH#: 803-400-1601

BLACK STEPHANIE PH#: 803-252-1004

PH#:

GIST ANGELA PH#: 803-630-1494

NEELEY BRIAN PH#: 803-881-7400

EDMONDS LAREECE PH#: 803-256-2728

IHCP-1029 / 04/30/2021

IHCP-0602 / 12/31/2020

IHCP-0186 / 06/30/2021

IHCP-0935 / 11/30/2020

IHCP-1179 / 06/30/2021

IHCP-0918 / 08/31/2020

IHCP-0745 / 05/31/2021

Richland / Limited Liability

Richland / Corporation

Richland / Corporation

Richland / Limited Liability

Richland / Limited Liability

Richland /

Richland / Limited Liability

2700 MIDDLEBURG DR STE 217

1226 PICKENS ST STE 103

1643 B SAVANNAH HWY STE 205

COLUMBIA, SC 29204

COLUMBIA, SC 29201

CHARLESTON, SC 29407

ASPIRE STAFFING LLC

ASSISTED CARE SERVICES INC

BAYADA HOME HEALTH CARE INC

THE H DOWDY & 13TH LLC

BLUE CAPITAL UNITED LLC

BEVERLY HOME HEALTHCARE SERVICES

HALE OLA LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 78: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 78 of 103

CAROLINA IN HOME CARE & ASSISTANCE

CASANIA'S CARING HANDS

CAST YOUR CARE HEALTH CARE LLC

CHEERS TRANSITIONAL SERVICES CENTER INC

CHRISTIAN COMFORTS LLC

COMFORCARE OF THE MIDLANDS

COMPASSIONATE PRIVATE DUTY SITTERS

2210 ROSEWOOD DR

1113 BELLEVIEW ST STE 105

9005 TWO NOTCH RD STE 12

421 BUSH RIVER RD STE 208

1453 HAVILAND CIR

22 OFFICE PARK CT STE C

810 DUTCH SQAURE BLVD STE 451

COLUMBIA, SC 29205-3743 FACILITY #:803-318-4276

COLUMBIA, SC 29201 FACILITY #:803-851-6694

COLUMBIA, SC 29223 FACILITY #:803-606-3327

COLUMBIA, SC 29210 FACILITY #:803-727-2572

COLUMBIA, SC 29210 FACILITY #:803-862-6677

COLUMBIA, SC 29223-5965 FACILITY #:803-764-0231

COLUMBIA, SC 29210 FACILITY #:843-244-1945

PH#:

GLOVER LASHAUNDA PH#: 803-851-6694

PH#:

MOUNTAIN JULIA PH#: 803-727-2572

QUINONES CIARA PH#: 803-862-6677

JOHNSON TARA PH#: 000-000-0000

PH#:

IHCP-0147 / 05/31/2021

IHCP-0627 / 01/31/2021

IHCP-1195 / 04/30/2021

IHCP-0324 / 08/31/2020

IHCP-1130 / 09/30/2020

IHCP-0236 / 07/31/2020

IHCP-0912 / 11/30/2020

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Corporation

Richland / Limited Liability

Richland / Corporation

Richland /

2210 ROSEWOOD DR

1113 BELLEVIEW ST STE 105

421 BUSH RIVER RD

22 OFFICE PARK CT STE C

COLUMBIA, SC 29205-3743

COLUMBIA, SC 29201

COLUMBIA, SC 29210

COLUMBIA, SC 29223-5965

CBX ONE-STOP LLC

CASANIA'S CARING HANDS LLC

CAST YOUR CARE HEALTH CARE LLC

CHEERS TRANSITIONAL SERVICES CENTER INC

CHRISTIAN COMFORTS LLC

BOOKIEBUGS INC

COMPASSIONATE PRIVATE DUTY SITTERS LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

Page 79: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 79 of 103

COMPLETE HOME CARE SERVICES LLC

CONNECTED HEARTS HOME CARE LLC

CORPORATE CARE LLC-COLUMBIA

CREATIVE HOME CARE LLC

CTK HOME HEALTHCARE SERVICES

ELITE IN HOME CARE PROVIDER

EPIC EXTRAORDINARY PERSONALIZED IN HOME CARE (NON-MEDICAL)

5223 TWO NOTCH RD STE 1

3924 FOREST DR STE 9

1620 BROAD RIVER RD

7356 GARNERS FERRY RD STE 212

5 CLUSTERS CT STE 101 & 104

4423 DEVINE ST STE E

21 LOVE VALLEY CT

COLUMBIA, SC 29204-2940 FACILITY #:803-391-8843

COLUMBIA, SC 29229 FACILITY #:844-443-9500

COLUMBIA, SC 29210 FACILITY #:803-403-1986

COLUMBIA, SC 29209-2146 FACILITY #:803-776-9105

COLUMBIA, SC 29210-4831 FACILITY #:803-404-1241

COLUMBIA, SC 29229 FACILITY #:803-995-6872

CHAPIN, SC 29036 FACILITY #:803-730-1701

PH#:

CLAIBOURN LANESE N PH#: 844-443-9500

PH#:

PH#:

WILLIAMS TAYLOR PH#: 803-404-1241

PH#:

PH#:

IHCP-0511 / 08/31/2020

IHCP-0311 / 08/30/2020

IHCP-0288 / 08/31/2020

IHCP-0332 / 11/30/2020

IHCP-0952 / 01/31/2020 (Renewal Pending)

IHCP-1196 / 04/30/2021

IHCP-0563 / 06/30/2021

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Corporation

PO BOX 24642

3924 FOREST DR STE 9

PO BOX 16148

7356 GARNERS FERRY RD STE 212

21 LOVE VALLEY CT

COLUMBIA, SC 29224-4642

COLUMBIA, SC 29204

GREENVILLE, SC 29606-7148

COLUMBIA, SC 29209-2146

CHAPIN, SC 29036

COMPLETE HOME CARE SERVICES LLC

NIGHTINGALE COMMUNITY HOME CARE LLC

CORPORATE CARE LLC

CREATIVE HOME CARE LLC

CTK HOME HEALTHCARE SERVICES LLC

ELITE HOME HEALTHCARE AGENCY LLC

CINDY KELLETT

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

Page 80: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 80 of 103

ESPEY HOME CARE LLC

FIRST PRIORITY HOME CARE LLC

GENTLE HEARTS IN HOME CARE INC

GIVING CARE

GOOD DEEDS HOME CARE LLC

HARMONY IN-HOME CARE LLC

HEADSTAR IN HOME HEALTH CARE LLC

1720 DEVONSHIRE DR APT 324

111 WILDEWOOD PARK DR

1345 GARNER LN 301

6615 TWO NOTCH ROAD #B

3905 W BELTLINE BLVD

3031 SCOTSMAN RD STE 19

5 COGBURN CT

COLUMBIA, SC 29204 FACILITY #:803-851-5973

COLUMBIA, SC 29223 FACILITY #:803-661-8805

COLUMBIA, SC 29210 FACILITY #:803-750-6200

COLUMBIA, SC 29223 FACILITY #:803-716-9091

COLUMBIA, SC 29204 FACILITY #:803-764-4750

COLUMBIA, SC 29223-1812 FACILITY #:803-646-5174

COLUMBIA, SC 29229 FACILITY #:803-807-8298

LOGAN ANGELA PH#: 803-851-5973

PH#:

SHEFFIELD SIR CHANNIE PH#: 803-750-6200

SEYUE HENRIETTA J PH#: 803-716-9091

JOHNSON LAMONTE PH#: 803-764-4750

PH#:

BUTLER MARY PH#: 803-807-8298

IHCP-0936 / 12/31/2020

IHCP-0099 / 04/30/2021

IHCP-0327 / 09/30/2020

IHCP-0996 / 05/31/2021

IHCP-0168 / 05/31/2020 (Renewal Pending)

IHCP-1149 / 01/31/2021

IHCP-0973 / 12/31/2020

Richland / Limited Liability

Richland / Limited Liability

Richland / Corporation

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Sole Proprietorship

PO BOX 23781

1345 GARNER LN 301

3905 W BELTLINE BLVD

COLUMBIA, SC 29224

COLUMBIA, SC 29210

COLUMBIA, SC 29204

ESPEY HOME CARE LLC

FIRST PRIORITY HOME CARE LLC

GENTLE HEARTS HOME CARE INC

GIVING CARE LLC

THE HAVENS ENTERPRISE LLC

HARMONY IN HOME CARE LLC

HEADSTAR IN HOME HEALTH CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

[email protected]

Page 81: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 81 of 103

HEALTHCARE ETC LLC

HEAVEN SENT HELPERS LLC

HELPING HANDS CAREGIVERS LLC

HOLISTIC HEALTH ADVANCEMENTS

HOME INSTEAD SENIOR CARE OF COLUMBIA

HOME WATCH CAREGIVERS OF COLUMBIA

INTERIM HEALTHCARE-COLUMBIA

7340 PARKLANE RD STE 101

1825 SAINT JULIAN PL STE F3

9400 TWO NOTCH RD STE C

9005 TWO NOTCH RD STE 4

9367 TWO NOTCH RD STE C

115 ATRIUM WAY STE 211

1103 BELLEVIEW ST STE 103

COLUMBIA, SC 29223 FACILITY #:803-708-4750

COLUMBIA, SC 29204-2424 FACILITY #:803-446-3151

COLUMBIA, SC 29223-5946 FACILITY #:803-699-1016

COLUMBIA, SC 29223 FACILITY #:803-205-5395

COLUMBIA, SC 29223-6450 FACILITY #:803-736-4242

COLUMBIA, SC 29223 FACILITY #:803-339-8899

COLUMBIA, SC 29201-1871 FACILITY #:843-569-5510

SQUIREWELL VALARIE PH#: 803-708-4750

PH#:

MUIR ANDRE PH#: 803-699-1016

MULLINS MELISSA PH#: 803-205-5395

EDMONDS JASON T PH#: 256-603-6109

THURMOND TERESA PH#: 803-708-2252

PH#:

IHCP-0639 / 10/31/2020

IHCP-0169 / 05/31/2021

IHCP-0156 / 05/31/2021

IHCP-0969 / 12/31/2019 (Renewal Pending)

IHCP-0869 / 07/31/2020

IHCP-0927 / 09/30/2020

IHCP-0116 / 04/30/2020 (Renewal Pending)

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Corporation

Richland / Limited Liability

Richland / Limited Liability

7340 PARKLANE RD STE 101

1825 SAINT JULIAN PL STE F3

9400 TWO NOTCH RD STE C

1103 BELLEVIEW ST STE 103

COLUMBIA, SC 29223

COLUMBIA, SC 29204-2424

COLUMBIA, SC 29223-5946

COLUMBIA, SC 29201-1871

HEALTHCARE ETC LLC

HEAVEN SENT HELPERS LLC

HELPING HANDS CAREGIVERS LLC

HOLISTIC HEALTH ADVANCEMENTS LLC

BJRSC INC

WHERE IT MATTERS LLC

LOWCOUNTRY NURSING GROUP LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

Page 82: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 82 of 103

J R HOMECARE

JUDAH MED CARE LLC

KARING IN MIND LLC

KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY (KALEF)

LIGHTHOUSE PROFESSIONAL STAFFING INC

LIVE LOVE & LAUGH - HOME CARE SERVICES

LOVE & CARE HOME CARE AGENCY

259 MEADOW SPRINGS

5 CLUSTER CT STE 104

7356 GARNERS FERRY RD STE 113

1941 DECKER BLVD

4500 FORT JACKSON BLVD STE 340

5 LIPPWELL CT

7357 PARKLANE RD

COLUMBIA, SC 29229 FACILITY #:803-667-6425

COLUMBIA, SC 29210 FACILITY #:717-472-7579

COLUMBIA, SC 29209-2146 FACILITY #:803-783-6039

COLUMBIA, SC 29206-3470 FACILITY #:803-736-5872

COLUMBIA, SC 29209 FACILITY #:803-782-1008

COLUMBIA, SC 29229 FACILITY #:803-361-7797

COLUMBIA, SC 29223-7615 FACILITY #:803-708-4730

MINCY JACQUELINE PH#: 717-961-1434

PH#:

PH#:

PH#:

PH#:

RUMPH CHRISTOPHER W PH#: 803-212-2351

PH#:

IHCP-1158 / 12/31/2020

IHCP-1147 / 11/30/2020

IHCP-0072 / 03/31/2021

IHCP-0158 / 05/31/2021

IHCP-0190 / 06/30/2021

IHCP-0876 / 06/30/2021

IHCP-0083 / 03/31/2021

Richland / Limited Liability

Richland / Limited Liability

Richland /

Richland / Sole Proprietorship

Richland / Corporation

Richland /

Richland / Limited Liability

136 FIELD PINE AVE

1941 DECKER BLVD

PO BOX 90506

7357 PARKLANE RD

HOPKINS, SC 29061

COLUMBIA, SC 29206-3470

CHARLESTON, SC 29410

COLUMBIA, SC 29223-7615

J R HEALTHCARE LLC

JUDAH MED CARE LLC

KARING IN MIND LLC

KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY (KALEF)

LIGHTHOUSE PROFESSIONAL STAFFING INC

LIVE LOVE & LAUGH - HOME CARE SERVICES LLC

LOVE & CARE HOME HEALTHCARE AGENCY LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

Page 83: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 83 of 103

LOVE AND LOYALTY IN HOME CARE

LOVE-N-KARING SERVICES LLC

NEW BRIDGE HOMECARE SERVICES LLC

NEW HOME CARE LLC

NEW LIFE HOME CARE

NURSES ARE US INC

PALMETTO CARE BEARS

7536 GARNERS FERRY RD STE 114

3905 W BELTLINE BLVD STE 15

7340 PARKLANE RD STE 202-B

104 MANN RD

4423 STE D DEVINE ST

3309 N MAIN ST

117 ALPINE CIR STE 600-B

COLUMBIA, SC 29209 FACILITY #:803-250-8210

COLUMBIA, SC 29204 FACILITY #:803-457-6833

COLUMBIA, SC 29223 FACILITY #:803-814-2493

COLUMBIA, SC 29223-8017 FACILITY #:803-767-3374

COLUMBIA, SC 29205 FACILITY #:803-351-3903

COLUMBIA, SC 29203 FACILITY #:803-799-3999

COLUMBIA, SC 29223 FACILITY #:803-569-0641

PH#:

DANIELS STEPHANIE PH#: 478-273-9749

PH#:

PH#:

SENTOYA ADAMS PH#: 803-477-6881

PH#:

JOHNSON ALEXANDRA PH#: 803-569-0641

IHCP-1210 / 05/31/2021

IHCP-1121 / 10/31/2020

IHCP-0665 / 01/31/2021

IHCP-0489 / 11/30/2020

IHCP-1145 / 11/30/2020

IHCP-0417 / 07/31/2020

IHCP-0697 / 03/31/2021

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Corporation

Richland / Limited Liability

7340 PARKLANE RD STE 202-B

104 MANN RD

3309 N MAIN ST

120 PALMETTO PARK CIR

COLUMBIA, SC 29223

COLUMBIA, SC 29223-8017

COLUMBIA, SC 29203

COLUMBIA, SC 29229

LOVE AND LOYALTY IN HOME CARE LLC

LOVE-N-KARING SERVICES LLC

NEW BRIDGE HOMECARE SERVICES LLC

NEW HOME CARE LLC

NEW LIFE HOME CARE LLC

NURSES ARE US INC

PALMETTO CARE BEARS HOME HEALTH CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 84: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 84 of 103

PALMETTO SOUTHERN COMFORT RESIDENTIAL CARE

PRECIOUS HOME CARE SERVICES

PROCARE HOME CARE

QUALITY CARE SERVICES

RAVANT SENIOR CARE

REJOICE ALWAYS

REST ASSURED LLC

3031 SCOTSMAN RD STE 16

7356 GARNERS FERRY RD STE 119

1624 DECKER BLVD

5210 TWO NOTCH RD STE A

7842 WESSEX LN

1825 ST JULIAN PL STE B

101 RICE BENT WAY STE 8

COLUMBIA, SC 29223 FACILITY #:803-243-2993

COLUMBIA, SC 29209-2146 FACILITY #:803-708-0716

COLUMBIA, SC 29206 FACILITY #:803-708-7100

COLUMBIA, SC 29204-2942 FACILITY #:803-786-5919

COLUMBIA, SC 29223 FACILITY #:843-263-3701

COLUMBIA, SC 29204 FACILITY #:803-603-6158

COLUMBIA, SC 29229-6850 FACILITY #:803-865-8113

PH#:

PH#:

GREENE ANGELINA PH#: 803-708-7100

PH#:

PH#:

TUCKER LATOYA PH#: 803-603-6158

PH#:

IHCP-0939 / 10/31/2020

IHCP-0143 / 05/31/2021

IHCP-0657 / 02/28/2021

IHCP-0212 / 06/30/2021

IHCP-1164 / 01/31/2021

IHCP-1148 / 03/30/2021

IHCP-0238 / 07/31/2021

Richland / Limited Liability

Richland / Limited Liability

Richland / Corporation

Richland / Corporation

Richland / Sole Proprietorship

Richland / Limited Liability

Richland / Limited Liability

7356 GARNERS FERRY RD STE 119

1624 DECKER BLVD

PO BOX 25215

101 RICE BENT WAY STE 8

COLUMBIA, SC 29209-2146

COLUMBIA, SC 29206

COLUMBIA, SC 29224-5215

COLUMBIA, SC 29229-6850

PALMETTO SOUTHERN COMFORT RESIDENTIAL CARE LLC

PRECIOUS HOME CARE SERVICES

PROCARE HOMECARE INC

QUALITY CARE SERVICES INC

RAVANT SENIOR CARE

REJOICE ALWAYS LLC

REST ASSURED LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 85: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 85 of 103

RESTORATIVE HEALTH SERVICES OF SC LLC

ROBINSONS HEALING - HEARTS ASSISTED LIVING LLC

RUBY'S SLIPPERS CAREGIVERS LLC

SC FAMILY LUV&CARE IN-HOME CARE AGENCY

SENIOR MATTERS EXTENDED SERVICES

SENIOR RESOURCES

SHADES OF LIFE LLC

9440 TWO NOTCH RD STE C

7340 PARKLANE RD

3905 W BELTLINE BLVD STE 19

97 SUMMIT RIDGE CIR

3710 LANDMARK DR STE 109

2817 MILLWOOD AVE

1400 LAUREL ST STE 2

COLUMBIA, SC 29223 FACILITY #:803-828-4554

COLUMBIA, SC 29223 FACILITY #:803-509-4769

COLUMBIA, SC 29204 FACILITY #:803-735-5191

COLUMBIA, SC 29229 FACILITY #:803-556-1992

COLUMBIA, SC 29204 FACILITY #:803-779-1181

COLUMBIA, SC 29205-1261 FACILITY #:803-252-7734

COLUMBIA, SC 29201 FACILITY #:803-667-9819

DAVIS JUDITH PH#: 803-386-5697

JOHNSON KEYOSHA PH#: 803-509-4769

PH#:

PH#:

PH#:

BOOZER ANDREW PH#: 803-525-7734

ROBINSON BROWN CAROLYN PH#: 803-667-9819

IHCP-0435 / 09/30/2020

IHCP-0437 / 04/30/2020 (Renewal Pending)

IHCP-1155 / 06/30/2021

IHCP-1167 / 02/28/2021

IHCP-0443 / 09/30/2020

IHCP-0059 / 02/28/2021

IHCP-0295 / 08/31/2020

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Limited Liability

Richland / Corporation

Richland / Limited Liability

2 OFFICE PARK CT STE 102

PO BOX 3991

3710 LANDMARK DR STE 109

2817 MILLWOOD AVE

1400 LAUREL ST STE 2

COLUMBIA, SC 29223-5966

WEST COLUMBIA, SC 29171-3991

COLUMBIA, SC 29204

COLUMBIA, SC 29205-1261

COLUMBIA, SC 29202

RESTORATIVE HEALTH SERVICES OF SC LLC

ROBINSONS HEALING - HEARTS ASSISTED LIVING LLC

RUBY'S SLIPPERS CAREGIVERS LLC

SC FAMILY LUV&CARE IN-HOME CARE AGENCY LLC

SENIOR MATTERS EXTENDED SERVICES LLC

SENIOR RESOURCES INC

SHADES OF LIFE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 86: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 86 of 103

SITTING WITH AN ANGEL

SOUTH CAROLINA HOME CARE PROVIDER

TENDER KARE SERVICES II LLC

UNIQUE SERENITY IN-HOME CARE AGENCY

A REMEDY HOME CARE

AEROFLOW INC

ALL ABOUT CARE

455 ST ANDREWS RD BLDG D STE 4C

7340 PARKLANE RD STE 204C

3905 W BELTLINE BLVD STE 5

5 CLUSTER CT STE 101

199 SPARTANBURG HWY

310 BUSINESS PKWY STE D

145 N CHURCH ST STE 122

COLUMBIA, SC 29210 FACILITY #:803-851-7268

COLUMBIA, SC 29223-7644 FACILITY #:803-606-8289

COLUMBIA, SC 29204 FACILITY #:803-638-9993

COLUMBIA, SC 29210 FACILITY #:803-828-3895

LYMAN, SC 29365 FACILITY #:864-804-3002

GREER, SC 29651-7118 FACILITY #:864-234-5593

SPARTANBURG, SC 29306 FACILITY #:864-764-4040

PH#:

MATHUR BHAWANA PH#:

PH#:

BAKER KIMBERLY PH#: 803-529-8196

PH#:

LINDSEY ASHLEA PH#: 843-345-1780

PH#:

IHCP-0628 / 09/30/2020

IHCP-0389 / 10/31/2020

IHCP-0469 / 12/31/2019 (Renewal Pending)

IHCP-1225 / 06/30/2021

IHCP-0717 / 05/31/2021

IHCP-0281 / 08/31/2020

IHCP-0350 / 11/30/2020

Richland / Sole Proprietorship

Richland / Corporation

Richland / Limited Liability

Richland / Limited Liability

Spartanburg / Limited Liability

Spartanburg / Corporation

Spartanburg / Limited Liability

455 ST ANDREWS RD BLDG D STE 4C

1 DUNNOCK CT

4443 BETHEL CHURCH RD APT 37

7281 NEW CUT RD

3165 SWEETEN CREEK RD

PO BOX 3233-29304

COLUMBIA, SC 29210

COLUMBIA, SC 29229-9525

COLUMBIA, SC 29206-1264

INMAN, SC 29349

ASHEVILLE, NC 28803-2115

SPARTANBURG, SC 29304

THOMPSON ANDRENA

HINDH CORPORATION

TENDER KARE SERVICES II LLC

UNIQUE SERENITY IN HOME CARE AGENCY LLC

A REMEDY HOME CARE LLC

AEROFLOW INC

AACSC LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 87: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 87 of 103

ALL WAYS CARING HOMECARE SPARTANBURG

ANGEL'S BEST HOME CARE LLC

AXCESS HEALTHCARE SERVICES LLC

CHARLES LEA CENTER

CIRCLE OF ANGELS HEALTH CARE

COMFORT KEEPERS SPARTANBURG

COMPLETE CARE MANAGEMENT SERVICES LLC

900 S PINE ST STE 200

10545 GREENVILLE HWY

110 GARNER RD STE 1

195 BURDETTE ST

2375 E MAIN ST STE A101

791 E MAIN ST STE A

716 UNION ST

SPARTANBURG, SC 29302 FACILITY #:864-585-9600

WELLFORD, SC 29385 FACILITY #:864-580-0696

SPARTANBURG, SC 29303 FACILITY #:864-542-2893

SPARTANBURG, SC 29307-1003 FACILITY #:864-585-0322

SPARTANBURG, SC 29307-1400 FACILITY #:864-579-3346

SPARTANBURG, SC 29302-2119 FACILITY #:864-573-2353

SPARTANBURG, SC 29306 FACILITY #:864-641-4242

DENT SMITH LAURIE PH#: 864-585-9600

PH#:

PH#:

SIMONET JACQUELYN PH#:

PH#:

PH#:

DOGAN SATREVA PH#: 864-517-0350

IHCP-0016 / 06/30/2021

IHCP-1138 / 10/31/2020

IHCP-0120 / 04/30/2021

IHCP-0787 / 04/30/2020 (Renewal Pending)

IHCP-0243 / 06/30/2021

IHCP-0076 / 02/28/2021

IHCP-0724 / 07/31/2020

Spartanburg / Corporation

Spartanburg / Limited Liability

Spartanburg / Limited Liability

Spartanburg / Corporation

Spartanburg / Limited Liability

Spartanburg / Limited Liability

Spartanburg / Limited Liability

900 S PINE ST

PO BOX 2875

195 BURDETTE ST

2375 E MAIN ST A101

945 E MAIN ST STE D

PO BOX 1463

SPARTANBURG, SC 29302-3362

SPARTANBURG, SC 29304

SPARTANBURG, SC 29307-1003

SPARTANBURG, SC 29307

SPARTANBURG, SC 29302-2119

SPARTANBURG, SC 29304

SOUTHERN HOME CARE SERVICES INC

ANGEL'S BEST HOME CARE LLC

AXCESS HEALTHCARE SERVICES LLC

CHARLES LEA CENTER

CIRCLE OF ANGELS HOME HEALTH CARE LLC

KIKI'S KARE LLC

COMPLETE CARE MANAGEMENT SERVICES OF SC LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 88: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 88 of 103

CORPORATE CARE LLC-SPARTANBURG

DIVINE HOME HEALTHCARE

DIVINITY SENIOR CARE

ELITE HOME CARE

FIRSTLIGHT HOMECARE OF SPARTANBURG COUNTY

GRISWOLD HOME CARE-GREENVILLE AND SPARTANBURG

HAPPY HOME CARE

222 E BLACKSTOCK RD STE C

349 FLOYD RD

437 FARNSWORTH RD

2000 BUD ARTHUR BRIDGE RD

145 N CHURCH ST STE 100A

205 LAKEWINDS BLVD

359 WHITNEY RD STE 9

SPARTANBURG, SC 29301-2627 FACILITY #:864-327-8386

SPARTANBURG, SC 29303 FACILITY #:864-699-9970

SPARTANBURG, SC 29301 FACILITY #:864-529-6830

SPARTANBURG, SC 29307-4417 FACILITY #:864-663-1943

SPARTANBURG, SC 29306 FACILITY #:864-310-6796

INMAN, SC 29349-6988 FACILITY #:864-990-0329

SPARTANBURG, SC 29303 FACILITY #:864-586-5600

COOLEY CAROLYN PH#: 864-250-0403

HARDY KIMBERLY PH#: 864-699-9970

SWINDLER SHAUNTY PH#: 864-529-6830

SPENCER VICTORIA PH#: 864-663-1943

PH#:

PH#:

ROBINSON CHADRICK PH#: 864-426-4974

IHCP-0276 / 08/31/2020

IHCP-0986 / 03/31/2021

IHCP-0968 / 04/30/2020 (Renewal Pending)

IHCP-0030 / 10/31/2020

IHCP-0524 / 03/31/2021

IHCP-0202 / 06/30/2021

IHCP-0716 / 05/31/2021

Spartanburg / Limited Liability

Spartanburg / Limited Liability

Spartanburg / Limited Liability

Spartanburg / Limited Liability

Spartanburg / Limited Liability

Spartanburg / Limited Liability

Spartanburg / Limited Liability

PO BOX 16148

PO BOX 1181

145 N CHURCH STREET BTC #53

205 LAKEWINDS BLVD

1208 HELMS RD

GREENVILLE, SC 29606-7148

SPARTANBURG, SC 29304-1181

SPARTANBURG, SC 29306

INMAN, SC 29349-6988

CHARLOTTE, NC 28214

CORPORATE CARE LLC

DIVINE HOME HEALTHCARE LLC

DIVINITY SENIOR CARE LLC

ELITE HOME CARE LLC

AJF PERSONAL HOME CARE SPECIALISTS LLC

HEART OF THE HOME LLC

HAPPY HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

[email protected]

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 89: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 89 of 103

HELPFUL HEARTS HOME CARE

HELPING HANDS HOME CARE OF SPARTANBURG

HOME INSTEAD SENIOR CARE OF SPARTANBURG AND CHEROKEE COUNTIES

INTEGRYS HOME CARE

LEGACY HEALTHCARE ADVANTAGE

LOVING CARE OF SOUTH CAROLINA

PENCHANT HOME CARE SERVICES INC

1220 JOHN B WHITE SR BLVD

101 N PINE ST STE 210

1409 W O EZELL BLVD

378 S PINE STREET UNIT 5

101 N PINE ST STE 303

404 POWELL MILL RD STE B

9338 ASHEVILLE HWY

SPARTANBURG, SC 29306 FACILITY #:864-913-5370

SPARTANBURG, SC 29302 FACILITY #:864-591-3043

SPARTANBURG, SC 29301 FACILITY #:864-699-9525

SPARTANBURG, SC 29302 FACILITY #:864-596-8804

SPARTANBURG, SC 29302 FACILITY #:864-308-8712

SPARTANBURG, SC 29301-1554 FACILITY #:864-587-9330

INMAN, SC 29349 FACILITY #:864-599-9468

SMITH TIFFANY G PH#: 864-426-4821

PH#:

PH#:

PH#:

PH#:

PH#:

PH#:

IHCP-1087 / 11/30/2020

IHCP-0504 / 03/31/2021

IHCP-0100 / 04/30/2021

IHCP-0894 / 05/31/2021

IHCP-0881 / 06/30/2020 (Renewal Pending)

IHCP-0231 / 07/31/2021

IHCP-0142 / 05/31/2021

Spartanburg / Limited Liability

Spartanburg / Corporation

Spartanburg / Limited Liability

Spartanburg / Limited Liability

Spartanburg / Sole Proprietorship

Spartanburg / Limited Liability

Spartanburg / Corporation

2811 REIDVILLE RD STE 28

404 POWELL MILL RD STE B

9338 ASHEVILLE HWY

SPARTANBURG, SC 29301-5672

SPARTANBURG, SC 29301-1554

INMAN, SC 29349

HELPFUL HEARTS HOME CARE LLC

HELPING HANDS HOME CARE OF SPARTANBURG INC

3 HEARTS LLC

INTEGRYS HOME CARE LLC

WILKES CORTELLA

LOVING CARE OF SOUTH CAROLINA LLC

PENCHANT HOME CARE SERVICES INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 90: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 90 of 103

SENIOR CARE CONSULTANTS OF SOUTH CAROLINA LLC

SERENITY HEALTHCARE AGENCY LLC

SUMMIT HILLS WELL CARE

UPSTATE BE WELL HOME SERVICES

UPSTATE HOME CARE SOLUTIONS - SPARTANBURG

VISITING ANGELS OF SPARTANBURG

24HR HOME CARE SERVICES LLC

1398 BOILING SPRINGS RD STE C

10541 GREENVILLE HWY

100 SUMMIT HILLS DR

200 FORTRESS DR

1865 E MAIN ST

609 E MAIN ST

304 W WESMARK #8

SPARTANBURG, SC 29303 FACILITY #:888-268-5319

WELLFORD, SC 29385 FACILITY #:864-541-1752

SPARTANBURG, SC 29307-1532 FACILITY #:864-528-5511

INMAN, SC 29349-9160 FACILITY #:864-483-2963

DUNCAN, SC 29334-8723 FACILITY #:864-527-0455

DUNCAN, SC 29334 FACILITY #:864-881-0520

SUMTER, SC 29150 FACILITY #:803-305-8837

PH#:

JONES SHADRIAN PH#: 864-546-1752

FARGIS REGINA PH#: 864-528-5511

HENRICH CONSTANCE M PH#: 803-643-4203

PH#:

MAXEY JEANETTE PH#: 864-881-0520

MARTIN TAMMY PH#: 803-305-8837

IHCP-0442 / 09/30/2020

IHCP-1209 / 05/31/2021

IHCP-0402 / 09/30/2020

IHCP-1023 / 01/31/2021

IHCP-0840 / 03/31/2021

IHCP-0658 / 12/31/2020

IHCP-1202 / 05/31/2021

Spartanburg / Limited Liability

Spartanburg / Limited Liability

Spartanburg / Limited Liability

Spartanburg / Corporation

Spartanburg / Limited Liability

Spartanburg / Limited Liability

Sumter / Limited Liability

PO BOX 9173

110 SUMMIT HILLS DR

113 W ANTRIM DR

609 E MAIN ST

SPARTANBURG, SC 29305-9173

SPARTANBURG, SC 29307

GREENVILLE, SC 29607

DUNCAN, SC 29334

SENIOR CARE CONSULTANTS OF SOUTH CAROLINA LLC

SERENITY HEALTHCARE AGENCY LLC

LIVE LONG WELL CARE LLC

LUTHERAN HOMES OF SOUTH CAROLINA INC

UPSTATE HOME HEALTH CARE SOLUTIONS LLC

UPSTATE ANGELS LLC

24HR HOME CARE SERVICES LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

Page 91: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 91 of 103

A BETTER DAY HOME CARE LLC

A NEW JOURNEY HEALTHCARE AND SENIOR SERVICES

A STEP ABOVE IN HOME CARE LLC

ADD LIGHT HOME CARE

ADDUS HOME CARE - SUMTER

AT YOUR SERVICE HOME CARE LLC

BELIEVE IN FAITH HOME CARE LLC

1236-C WILSON HALL RD

410 W LIBERTY ST STE 201

529 OXFORD ST STE D-1

698-S BULTMAN DR UNIT C-8

2630 A HARDEE CV

645 BULTMAN DR

513 W LIBERTY ST

SUMTER, SC 29150 FACILITY #:803-774-2089

SUMTER, SC 29150-4865 FACILITY #:803-305-1489

SUMTER, SC 29150-3333 FACILITY #:803-774-4035

SUMTER, SC 29150 FACILITY #:732-522-3724

SUMTER, SC 29150-1893 FACILITY #:843-662-4060

SUMTER, SC 29150 FACILITY #:803-607-9677

SUMTER, SC 29150-4865 FACILITY #:803-938-5268

WESTERMAN LEE PH#:

MCCLERKLIN CHRISTOPER PH#: 803-305-1489

WITHERSPOON CLAUDETTE PH#: 803-774-4035

PH#:

KUMARICH DIANE PH#: 360-296-3400

REED JEFF PH#: 803-607-9677

PH#:

IHCP-0975 / 02/28/2021

IHCP-0151 / 05/31/2021

IHCP-0348 / 09/30/2020

IHCP-1128 / 09/30/2020

IHCP-0199 / 06/30/2021

IHCP-0135 / 05/31/2021

IHCP-0682 / 11/30/2020

Sumter / Limited Liability

Sumter / Limited Liability

Sumter / Limited Liability

Sumter / Limited Liability

Sumter / Corporation

Sumter / Limited Liability

Sumter / Limited Liability

2455 EQUINOX AVE

410 W LIBERTY ST STE 201

533A OXFORD ST STE A

2300 WARRENVILLE RD STE 100

1250 WILSON HALL RD

513 W LIBERTY ST

DALZELL, SC 29040

SUMTER, SC 29150-4865

SUMTER, SC 29150-3333

DOWNERS GROVE, IL 60515-1700

SUMTER, SC 29150

SUMTER, SC 29150-4865

A BETTER DAY HOME CARE LLC

A NEW JOURNEY HEALTHCARE AND SENIOR SERVICES LLC

A STEP ABOVE HOME HEALTH CARE LLC

ADD LIGHT HOME CARE LLC

ADDUS HEALTHCARE (SOUTH CAROLINA) INC DBA ADDUS HOME CARE

AT YOUR SERVICE HOME CARE LLC

BELIEVE IN FAITH HOME HEALTHCARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

No Fac Cont Email on record

Page 92: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 92 of 103

CAROLINA CAREGIVERS OF SUMTER

CAROLINA IN-HOME CARE

CASTLE POINTE HOME CARE

DD&C IN-HOME CARE

FAIRWAY HOME CARE OF SC

HEAVENLY HANDS LLC

NANNA S LOVING CARE HOMECARE & SENIOR SERVICES LLC

2085 TUDOR ST

130 BROAD ST

515 W LIBERTY ST

652 BULTMAN DR

327 N MAIN ST

214 W LIBERTY ST STE 2

220 E CALHOUN ST

SUMTER, SC 29150 FACILITY #:803-236-3603

SUMTER, SC 29150-4237 FACILITY #:803-774-4377

SUMTER, SC 29150-4818 FACILITY #:803-418-0493

SUMTER, SC 29150-0000 FACILITY #:803-305-1183

SUMTER, SC 29150-4258 FACILITY #:803-775-9000

SUMTER, SC 29150 FACILITY #:803-565-5017

SUMTER, SC 29150 FACILITY #:803-795-2072

FELDER WENDY L PH#: 803-236-3603

PH#:

PH#:

WALKER DEBRA PH#: 803-305-1183

WELLS DENISE L PH#: 803-775-9000

VAUGHN STACY PH#: 803-565-5017

PH#:

IHCP-0823 / 11/30/2020

IHCP-0313 / 04/30/2020 (Renewal Pending)

IHCP-0205 / 06/30/2020 (Renewal Pending)

IHCP-0867 / 07/31/2020

IHCP-0932 / 09/30/2020

IHCP-0181 / 06/30/2021

IHCP-1159 / 01/31/2021

Sumter / Sole Proprietorship

Sumter / Limited Liability

Sumter / Partnership

Sumter / Limited Liability

Sumter / Limited Liability

Sumter / Sole Proprietorship

Sumter / Sole Proprietorship

130 BROAD ST

515 W LIBERTY ST

327 N MAIN ST

PO BOX 1162

SUMTER, SC 29150-4237

SUMTER, SC 29150-4818

SUMTER, SC 29153

SUMTER, SC 29150

FELDER WENDY L

CAROLINA HEALTH CARE UNITED

CASTLE POINTE REALTY LLC

DD&C IN-HOME CARE LLC

WELLS HOLDINGS & INVESTMENTS LLC

STACY VAUGHN

NANNA S LOVING CARE HOMECARE & SENIOR SERVICES LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

Page 93: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 93 of 103

NEVER ALONE HEALTH CARE OF SUMTER

PARADISE POINTE PROFESSIONAL HOME CARE LLC

PERSONAL CARE OF SUMTER INC

QUALITY PRIVATE CAREGIVERS

REMBERT AREA COMMUNITY COALITION (RACC)

SERENITY KEEPERS HOME CARE LLC

SUPPORTING FAMILY AND FRIENDS

304 W WESTMARK BLVD STE 10

529 OXFORD ST STE A

1900 CAMDEN RD

3178 PAWLEYS LN

8455 CAMDEN HWY

306 BROAD ST

528 BROAD ST STE 202

SUMTER, SC 29150 FACILITY #:803-469-1069

SUMTER, SC 29150 FACILITY #:803-774-0147

SUMTER, SC 29153-9996 FACILITY #:803-469-5440

SUMTER, SC 29150-4328 FACILITY #:803-565-8851

REMBERT, SC 29128 FACILITY #:803-432-2001

SUMTER, SC 29150-4124 FACILITY #:803-883-5668

SUMTER, SC 29150 FACILITY #:803-305-1760

PH#:

PH#:

PH#:

PH#:

PH#:

PH#:

CHASE SONYTIA PH#: 803-225-6552

IHCP-0899 / 08/30/2020

IHCP-0422 / 07/31/2021

IHCP-0424 / 10/31/2020

IHCP-1003 / 03/31/2021

IHCP-0433 / 04/30/2021

IHCP-0546 / 07/31/2020

IHCP-0877 / 06/30/2021

Sumter / Limited Liability

Sumter / Limited Liability

Sumter / Sole Proprietorship

Sumter / Limited Liability Company (multiple member)

Sumter / Corporation

Sumter / Limited Liability

Sumter / Limited Liability

2485 EDMUNDS DR

PO BOX 603

PO BOX 186

306 BROAD ST

SUMTER, SC 29154-7077

SUMTER, SC 29151-0603

REMBERT, SC 29128

SUMTER, SC 29150-4124

NEVER ALONE HOME HEALTH CARE OF SUMTER LLC

PARADISE POINTE PROFESSIONAL HOME CARE LLC

WILLAIMS PATRICIA M

QUALITY PRIVATE CAREGIVERS LLC

REMBERT AREA COMMUNITY COALITION

SERENITY KEEPERS HOME CARE LLC

SUPPORTING FAMILY AND FRIENDS LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 94: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 94 of 103

THE GOOD SAMARITAN WAY LLC

VISITING ANGELS SUMTER

CAROLINA CARE SOLUTIONS

GOLDEN HANDS

ANGEL HEART ADULT DAY CARE LLC

ART OF LIVING COMMUNITY & SUPPORT SERVICES LLC

ASH-COURT COMPANION CARE LLC

3340 LAUDERDALE LN

144 GARRETT ST STE D

1000 VAN BUREN AVE STE E

698 BULTMAN DR UNIT Q

831 EASTLAND AVE

1117 3RD AVE

310 E MAIN ST

SUMTER, SC 29152 FACILITY #:803-464-0671

SUMTER, SC 29150-3846 FACILITY #:803-418-5441

INDIAN TRAIL, NC 28079-5619 FACILITY #:704-334-1227

SUMTER, SC 29150 FACILITY #:803-316-4689

KINGSTREE, SC 29556 FACILITY #:843-354-3500

KINGSTREE, SC 29556 FACILITY #:843-401-0002

KINGSTREE, SC 29556 FACILITY #:843-355-1313

MCELVEEN LASHONDA PH#: 803-464-0671

PH#:

PH#:

WEBB MARY PH#: 803-316-4689

FITTS MARGARET PH#: 843-354-3500

PH#:

PH#:

IHCP-0967 / 07/31/2020

IHCP-0452 / 06/30/2021

IHCP-0478 / 07/31/2020

IHCP-1135 / 02/28/2021

IHCP-0577 / 09/30/2020

IHCP-1024 / 07/31/2020

IHCP-0139 / 05/31/2021

Sumter / Limited Liability

Sumter / Corporation

Union / Sole Proprietorship

Unknown / Sole Proprietorship

Williamsburg / Limited Liability

Williamsburg / Limited Liability

Williamsburg / Limited Liability

3340 LAUDERDALE LN

144 GARRETT ST STE D

2633 BEULAH CHURCH RD

310 E MAIN ST

SUMTER, SC 29154

SUMTER, SC 29150-3846

WEDDINGTON, NC 28104

KINGSTREE, SC 29556-3513

THE GOOD SAMARITAN WAY

TDT CAPITAL INC

PEAY AMANDA

WEBB MARY

GUARDIAN ANGEL CARE LLC

ART OF LIVING COMMUNITY & SUPPORT SERVICES LLC

ASH-COURT COMPANION CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

Page 95: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 95 of 103

GOOD SAMARITAN HOME CARE SERVICES LLC

HEARTS & HANDS CLA LLC

PARAMOUNT IN HOME CARE PROVIDER

RUTH LOUIS PERSONAL CARE

WISE CHOICE HOME CARE

1ST IN HOME CARE PROVIDERS

A MOTHERS CHOICE HOME CARE

3 ROUND SWAMP RD

1382 FULTON AVE

141 PINE AVE

1349 SEABORAD RD

501 N LONGSTREET ST

2460 INDIA HOOK RD STE 201-F

1030 OAKLAND AVE STE 104

KINGSTREE, SC 29556 FACILITY #:843-382-3574

KINGSTREE, SC 29556 FACILITY #:843-401-0058

KINGSTREE, SC 29556 FACILITY #:843-356-0723

ANDREWS, SC 29510 FACILITY #:843-221-5848

KINGSTREE, SC 29556 FACILITY #:704-431-8153

ROCK HILL, SC 29732-3579 FACILITY #:803-317-2464

ROCK HILL, SC 29732 FACILITY #:803-233-2077

PH#:

DOZIER-YORK RANADA PH#: 843-372-7372

BUFKIN VINETTA PH#:

PH#:

PH#:

LOVETT SALMA PH#:

PH#:

IHCP-0384 / 09/30/2020

IHCP-0528 / 04/30/2021

IHCP-0893 / 12/31/2020

IHCP-0644 / 10/31/2020

IHCP-0730 / 01/31/2020 (Renewal Pending)

IHCP-0007 / 01/31/2021

IHCP-0347 / 05/31/2021

Williamsburg / Limited Liability

Williamsburg / Limited Liability

Williamsburg / Limited Liability

Williamsburg /

Williamsburg / Limited Liability

York / Sole Proprietorship

York / Limited Liability

3 ROUND SWAMP RD

8402 ROSWELL RD APT C

1349 SEABOARD RD

501 N LONGSTREET ST

2260 CROSSPOINTE DR STE 201

KINGSTREE, SC 29556

ATLANTA, GA 30350

ANDREWS, SC 29510-5628

KINGSTREE, SC 29556

ROCK HILL, SC 29730-8261

GOOD SAMARITAN HOME CARE SERVICES LLC

HEARTS & HANDS CLA LLC

PARAMOUNT IN HOME CARE PROVIDER LLC

RUTH LOUIS ADULT HEALTH DAY CARE

WISE CHOICE HOME CARE LLC

GRAHAM DARLENE F

A MOTHERS CHOICE HOME HEALTHCARE

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 96: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 96 of 103

ABUNDANT LIFE HOME CARE

ABUNDANT LIFE HOME CARE SERVICES LLC

ACCESS HEALTH SERVICES OF ROCK HILL

ADDUS HOME CARE - ROCK HILL

AFFINITY HOME CARE

ALL WAYS CARING HOMECARE ROCK HILL SC

ALLEGIANCE HOME CARE OF THE CAROLINAS

331 E MAIN ST

1565 EBENEZER RD STE 112

2424 INDIA HOOK RD STE 100

1924 INDIA HOOK RD

1565 EBENEEZER RD STE 130

430 S HERLONG AVE STE 102

522 NORTH AVE

ROCK HILL, SC 29730 FACILITY #:803-448-2765

ROCK HILL, SC 29732 FACILITY #:803-792-9211

ROCK HILL, SC 29732-1278 FACILITY #:803-328-0437

ROCK HILL, SC 29730 FACILITY #:803-324-9366

ROCK HILL, SC 29732 FACILITY #:704-840-4126

ROCK HILL, SC 29732 FACILITY #:803-324-7707

ROCK HILL, SC 29732-3050 FACILITY #:803-327-9558

OLOYEDE-ASANIKA TOMISIN PH#: 803-448-2765

MUHAMMAD YUSUF PH#: 803-792-9211

SWYGERT MARILYN PH#: 803-506-8206

KUMARICH DIANE PH#: 360-296-3400

PH#:

DENT SMITH LAURIE PH#: 803-324-7707

BARNES LAKESHIA PH#: 803-327-9558

IHCP-0842 / 05/31/2020 (Renewal Pending)

IHCP-0992 / 06/30/2021

IHCP-0633 / 10/31/2020

IHCP-0200 / 06/30/2021

IHCP-0854 / 05/31/2020 (Renewal Pending)

IHCP-0160 / 05/31/2021

IHCP-0123 / 04/30/2021

York / Limited Liability

York / Limited Liability

York / Corporation

York / Corporation

York / Limited Liability

York / Corporation

York / Limited Liability

PO BOX 3580

2300 WARRENVILLE RD STE 100

430 S HERLONG AVE STE 102

518 NORTH AVE STE B

COLUMBIA, SC 29203

DOWNERS GROVE, IL 60515-1700

ROCK HILL, SC 29732

ROCK HILL, SC 29732-3050

ABUNDANT LIFE HOME CARE LLC

ABUNDANT LIFE HOME CARE SERVICES LLC

ACCESS HEALTH CARE SERVICES INC

ADDUS HEALTHCARE (SOUTH CAROLINA) INC DBA ADDUS HOME CARE

AFFINITY HOME CARE LLC

SOUTHERN HOME CARE SERVICES INC

ALLEGIANCE HOME CARE OF THE CAROLINAS LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

[email protected]

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

Page 97: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 97 of 103

ALPHA HEALTH SERVICES

ALWAYS BEST CARE OF ROCK HILL

AMIABLE CARE SOLUTIONS LLC

ANGEL'S IN-PLACE HOME CARE

BAYADA HOME CARE-ROCK HILL INC

BEST FUTURE

BRIGHTSTAR CARE OF ROCK HILL/FORT MILL

2210 OAK POND RD

146 E WHITE ST

331 E MAIN ST STE 200

519 QUICKSILVER TRAIL

454 ANDERSON RD S STE 121

7000 REGENT PKWY STE 109

2012 WEST HWY 160 STE 4

ROCK HILL, SC 29730-7958 FACILITY #:803-448-0251

ROCK HILL, SC 29730-4526 FACILITY #:803-329-0079

ROCK HILL, SC 29730 FACILITY #:803-659-4245

FORT MILL, SC 29708 FACILITY #:803-981-4750

ROCK HILL, SC 29730-3398 FACILITY #:803-327-8900

FORT MILL, SC 29715 FACILITY #:803-500-0498

FORT MILL, SC 29708 FACILITY #:803-578-9900

AFAM DORIS PH#: 803-448-0251

PH#:

PH#:

JOHNSON ANGELA D PH#:

PH#:

FLEMING KENNETH J PH#: 704-879-2394

SMITH STEVEN M PH#: 803-578-9900

IHCP-0373 / 05/31/2021

IHCP-0286 / 07/31/2021

IHCP-1141 / 03/31/2021

IHCP-0913 / 06/30/2020 (Renewal Pending)

IHCP-0165 / 05/31/2021

IHCP-0660 / 01/31/2021

IHCP-1101 / 05/31/2021

York / Limited Liability

York / Corporation

York / Limited Liability

York / Sole Proprietorship

York / Corporation

York / Corporation

York / Corporation

2210 OAK POND RD

146 E WHITE ST

454 ANDERSON RD S STE 121

ROCK HILL, SC 29730-7958

ROCK HILL, SC 29730-4526

ROCK HILL, SC 29730-3398

DIVINE HEALTH CONSULTANTS LLC

P & D ENTITIES OF SC INC

AMIABLE CARE SOLUTIONS LLC

JOHNSON TIFFANY L

BAYADA HOME HEALTH CARE INC

BEST FUTURE INC

FUTURESMITH INC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

[email protected]

Page 98: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 98 of 103

CARE FIRST PROFESSIONAL HOME CARE AGENCY

CARE HAVEN INC

CARING AT HEART

CARING HEARTS COMPANIONS LLC

CAROLINAS CAREGIVERS

COMPASS IN-HOME CARE

ELDER OPTIONS

331 E MAIN ST STE 200

852 GOLD HILL RD STE 203

331 E MAIN ST STE 200

2 N CONGRESS ST

454 S ANDERSON RD STE 104

1565 EBENEZER RD STE 119

120 ACADEMY ST

ROCK HILL, SC 29730 FACILITY #:803-334-0025

FORT MILL, SC 29708-8989 FACILITY #:803-396-2155

ROCK HILL, SC 29730 FACILITY #:803-909-9393

YORK, SC 29745 FACILITY #:803-322-3926

ROCK HILL, SC 29730 FACILITY #:803-329-8333

ROCK HILL, SC 29732 FACILITY #:931-237-4664

FORT MILL, SC 29715 FACILITY #:704-942-0650

MONTGOMERY MARCUS PH#: 704-232-1913

PH#:

HEALY GLORIA PH#: 704-379-7510

SOLER RENAE PH#: 803-322-3926

SKELTON CHARLENE W PH#: 803-329-8333

BONIFACE JR ANTHONY J PH#:

TENBROECK JOHN PH#: 704-942-0650

IHCP-1168 / 02/28/2021

IHCP-0509 / 06/30/2021

IHCP-0878 / 07/31/2020

IHCP-0964 / 12/31/2020

IHCP-0747 / 09/30/2020

IHCP-1032 / 06/30/2020 (Renewal Pending)

IHCP-1105 / 09/30/2020

York / Limited Liability

York / Partnership

York / Limited Liability

York / Limited Liability

York / Limited Liability

York / Limited Liability

York / Limited Liability

852 GOLD HILL RD STE 203

120 MAIN ST

454 S ANDERSON RD #563

FORT MILL, SC 29708-8989

CHESTER, SC 29706

ROCK HILL, SC 29730

CARE FIRST PROFESSIONAL HOME CARE AGENCY

CARE HAVEN INC

CARING AT HEART LLC

CARING HEARTS COMPANIONS LLC

CAROLINAS CAREGIVERS ENTERPRISES LLC

COMPASS IN-HOME CARE LLC

ELDER OPTIONS LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 99: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 99 of 103

EXCEL HOME CARE

FAMILY FIRST HEALTHCARE

HOME INSTEAD SENIOR CARE

HOMEBRIDGE COMMUNITY SERVICES

HOMEWATCH CAREGIVERS OF ROCK HILL

ICARE HOME SOLUTIONS LLC

INTERIM HEALTHCARE-ROCK HILL

331 E MAIN ST STE 200

1464 STROUPE ST

4186 OLD YORK RD

1330 INDIA HOOK RD

2342 EBENEZER RD STE A

331 E MAIN ST STE 200

154 AMENDMENT AVE STE 106

ROCK HILL, SC 29730 FACILITY #:803-909-9370

ROCK HILL, SC 29730 FACILITY #:803-589-9128

ROCK HILL, SC 29732-9133 FACILITY #:803-817-1901

ROCK HILL, SC 29732-2462 FACILITY #:803-328-5145

ROCK HILL, SC 29732 FACILITY #:803-752-4724

ROCK HILL, SC 29730 FACILITY #:800-770-7165

ROCK HILL, SC 29732-3156 FACILITY #:803-324-4166

PH#:

PH#:

PH#:

LAUGHLIN AMY PH#:

PH#:

PH#:

PH#:

IHCP-0905 / 09/30/2020

IHCP-0561 / 06/30/2020 (Renewal Pending)

IHCP-0163 / 05/31/2021

IHCP-0047 / 01/31/2021

IHCP-0898 / 07/31/2020

IHCP-1109 / 01/31/2021

IHCP-0164 / 05/31/2021

York / Limited Liability

York / Limited Liability

York / Limited Liability

York / Non-Profit Corporation

York / Limited Liability

York / Corporation

York / Corporation

1464 STROUPE ST

4186 OLD YORK RD

1330 INDIA HOOK RD

2526 WARD BLVD

ROCK HILL, SC 29730

ROCK HILL, SC 29732-9133

ROCK HILL, SC 29732-2412

WILSON, NC 27893-1600

EXCEL HOME CARE LLC

FAMILY FIRST HOME HEALTHCARE

MOXIE VENTURE LLC

WESTMINSTER PRESBYTERIAN CENTER INC

OLD SEINE ROAD LLC

ICARE HOME SOLUTIONS LLC

INTERIM HEALTHCARE OF THE TRIAD

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 100: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 100 of 103

LOVIE'S HOME CARE AGENCY

LOVING ARMS HOME CARE LLC

MAGNOLIA HOME CARE

NANCY'S HOME CARE SERVICES

NCSC HOME CARE SERVICES LLC

NEW HORIZONS HOMECARE & STAFFING

NURSE NEXT DOOR - YORK

954 MT GALLANT RD STE B

8180 REGENT PKWY STE 108

2012 WEST HWY 160 STE 15

235 S HERLONG AVE

1565 EBENEZER RD STE 111

2025 EBENEZER RD STE B

1726 FAIRNTOSH DR

ROCK HILL, SC 29732 FACILITY #:803-693-6418

FORT MILL, SC 29715 FACILITY #:843-879-4837

FORT MILL, SC 29708 FACILITY #:803-833-2203

ROCK HILL, SC 29732 FACILITY #:803-327-5888

ROCK HILL, SC 29732 FACILITY #:803-792-9211

ROCK HILL, SC 29732-1069 FACILITY #:803-366-5005

FORT MILL, SC 29715 FACILITY #:803-448-7950

PH#:

JOE KAREN PH#: 704-312-2093

PH#:

PH#:

PH#:

PH#:

PH#:

IHCP-0777 / 09/30/2020

IHCP-0672 / 02/28/2021

IHCP-0674 / 02/28/2021

IHCP-0415 / 05/31/2021

IHCP-0596 / 09/30/2020

IHCP-0283 / 07/31/2020

IHCP-0782 / 11/30/2020

York / Limited Liability

York / Limited Liability

York / Limited Liability

York / Limited Liability

York / Limited Liability

York / Corporation

York / Limited Liability

1806 CHALFONT CT

608 GREGG AVE STE 202

235 S HERLONG AVE

331 E MAIN ST STE 200 OFFICE 227

2025 EBENEZER RD STE B

1726 FAIRNTOSH DR

CHARLOTTE, NC 28262

FLORENCE, SC 29501

ROCK HILL, SC 29732

ROCK HILL, SC 29730

ROCK HILL, SC 29732-1069

FORT MILL, SC 29715

LOVIE'S HOME CARE AGENCY LLC

LOVING ARMS HOME CARE LLC

PATMAX LLC

NANCY'S HOME CARE SERVICES LLC

NCSC HOME CARE SERVICES LLC

NEW HORIZONS HOMECARE & STAFFING

OVERCASH ASSOCIATES

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 101: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 101 of 103

OPTIMUM HOME CARE OF SOUTH CAROLINA

PASSIONATE CARE

PERFECTED HEALTHCARE SERVICES

PRESTIGE PERSONAL CARE SERVICES LLC

PROGRESSIVE CARE SC LLC

RESPONSIBLE HEALTHCARE

REVELATION HOME CARE

2025 EBENEZER RD STE D

454 S ANDERSON RD BTC #567 STE 132

4607 CHARLOTTE HWY STE 13&14

1565 EBENEZER RD STE 148

744 ARDEN LN STE 200

331 E MAIN ST STE 200

331 E MAIN ST STE 200

ROCK HILL, SC 29732-1069 FACILITY #:803-366-6747

ROCK HILL, SC 29730 FACILITY #:803-366-3003

LAKE WYLIE, SC 29710 FACILITY #:803-992-2927

ROCK HILL, SC 29732 FACILITY #:803-327-1166

ROCK HILL, SC 29732-3287 FACILITY #:803-372-7221

ROCK HILL, SC 29730 FACILITY #:803-909-9430

ROCK HILL, SC 29730-5384 FACILITY #:803-909-9358

PH#:

PH#:

PH#:

PH#:

PH#:

CARTER AUDREY PH#: 704-497-5345

BARBER JERIKA PH#: 803-630-6624

IHCP-0396 / 09/30/2020

IHCP-0719 / 05/31/2021

IHCP-0809 / 02/28/2021

IHCP-1162 / 12/31/2020

IHCP-0269 / 07/31/2020

IHCP-0659 / 02/28/2021

IHCP-0761 / 11/30/2020

York / Limited Liability

York / Limited Liability

York / Limited Liability

York / Limited Liability

York / Limited Liability

York / Limited Liability

York / Limited Liability

2025 EBENEZER RD STE D

454 S ANDERSON RD BTC #567 STE 132

1205 HORSESUGAR RD

744 ARDEN LN STE 200

14016 NAWORTH LN

6904 PLEASANT GROVE RD

ROCK HILL, SC 29732-1069

ROCK HILL, SC 29730

CLOVER, SC 29710

ROCK HILL, SC 29732-3287

HUNTERSVILLE, NC 28078

CHARLOTTE, NCF 28216

JGSJ LLC DBA OPTIMUM HOME HEALTH CARE

PASSIONATE CARE LLC

PERFECTED HEALTHCARE SERVICES LLC

PRESTIGE PERSONAL CARE SERVICES LLC

PROGRESSIVE CARE SC LLC

RESPONSIBLE HEALTHCARE LLC

REVELATION HOME CARE LLC

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

Page 102: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 102 of 103

RIGHT AT HOME - ROCK HILL

SENIOR HELPERS

SKYCARE SERVICES LLC

STARLIGHT HEALTHCARE SERVICES INC

STELLAR HOME CARE AGENCY

TLC YOUR WAY HOME CARE SERVICES INC

TRUST ME HOME CARE SERVICES

1125 N ANDERSON RD STE 102

1317 EBENEZER RD STE 3

1447 EBENEZER RD

954 MOUNT GALLANT RD STE A

1213 ETTRICK AVE

4371 CHARLOTTE HWY STE #6

1021 ROBINWOOD CT

ROCK HILL, SC 29730 FACILITY #:803-227-3087

ROCK HILL, SC 29732-2336 FACILITY #:803-329-4357

ROCK HILL, SC 29732 FACILITY #:803-587-8036

ROCK HILL, SC 29730 FACILITY #:803-328-0428

ROCK HILL, SC 29732 FACILITY #:818-600-4847

LAKE WYLIE, SC 29710 FACILITY #:803-810-2060

ROCK HILL, SC 29730-9273 FACILITY #:803-371-8161

PH#:

ZAMEK SETH PH#: 803-329-4357

PH#:

PH#:

WATKINS JULIA PH#: 803-487-6830

PH#:

CLOWERS FRANK PH#: 803-207-6156

IHCP-0769 / 10/31/2020

IHCP-0049 / 01/31/2021

IHCP-1013 / 09/30/2020

IHCP-0362 / 05/31/2020 (Renewal Pending)

IHCP-1117 / 08/31/2020

IHCP-0023 / 02/28/2021

IHCP-0457 / 07/31/2020

York / Corporation

York / Ltd. Liability

York / Limited Liability

York / Corporation

York / Limited Liability

York / Corporation

York / Sole Proprietorship

1125 N ANDERSON RD STE 102

2314 EBENEZER RD

954 MOUNT GALLANT RD STE A

4381 CHARLOTTE HWY STE 102

1021 ROBINWOOD CT

ROCK HILL, SC 29730

ROCK HILL, SC 29732-9214

ROCK HILL, SC 29730

LAKE WYLIE, SC 29710

ROCK HILL, SC 29730-9273

RYAN VENTURES INC

CARE PARTNERS LLC

SKYCARE SERVICES LLC

STARLIGHT HOMECARE SERVICES INC

STELLAR HOME CARE AGENCY

TLC YOUR WAY HOME CARE SERVICES INC

TRUST ME HOME CARE SERVICES

-1

-1

-1

-1

-1

-1

-1

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

[email protected]

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

No Fac Cont Email on record

Page 103: SCDHEC June 8, 2020 Inhome Care Provider€¦ · MATTHEWS CHRISTINE M PH#: 803-226-0288 JONES SHIKITA PH#: PH#: PH#: ADAMS VANESSA PH#: 803-649-0922 GOFF KATIE PH#: 803-634-4350 BERRY

July 7, 2020 HLFT.rdf

SCDHEC July 7, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Inhome Care Provider

Nbr Licensed Beds,Stations, etc.

Page 103 of 103

VISITING ANGELS - YORK & LANCASTER COUNTIES

WE CARE 4 U LLC

1615 EBENEZER RD

100 STONE VILLAGE DR STE 212

ROCK HILL, SC 29732-1809 FACILITY #:803-610-4200

FORT MILL, SC 29708 FACILITY #:803-741-5840

PH#:

WIGGINS KATHY PH#: 803-741-5840

IHCP-0101 / 03/31/2021

IHCP-1110 / 10/31/2020

York / Limited Liability

York / Limited Liability

1615 EBENEZER RDROCK HILL, SC 29732-1809COMPASSIONATE SENIOR HOME CARE LLC

WE CARE 4 U LLC

Total Number of Facilities:716

Totals For State

-1

-1

Licensed Beds, Stations, etc:-716

Fac. Cont. Email:

Fac. Cont. Email:

No Fac Cont Email on record

No Fac Cont Email on record