Horry County: Adult Day Care Facility Type

October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: Adult Day Care Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

ACTIVE DAY OF GRAND STRAND Horry / Corporation 80 3880 HOUNDSFIELD AVE 6 NESHAMINY INTERPLEX STE 401 MYRTLE BEACH, SC 29577-5792 FAC.#:843-626-8501 TREVOSE, PA 19053-6964 SCHWENINGER LINDSAY PH#: ACTIVE SC ONE INC Facility Email: [email protected] ADC-0129 / 10/31/2021 Number of Participants: 80 CONWAY ADULT DAY CARE Horry / Corporation 60 3320 4TH AVE STE G 3320 FOURTH AVE CONWAY, SC 29527 FAC.#:843-488-2273 CONWAY, SC 29527 JOHNSON KAREN T PH#: 843-369-2273 CONWAY ADULT DAY CARE INC Facility Email: [email protected] ADC-0165 / 05/31/2021 Number of Participants: 60 LORIS ADULT DAY CARE Horry / Ltd. Liability 35 3701 MAIN ST 3701 MAIN ST LORIS, SC 29569-2901 FAC.#:843-716-2425 LORIS, SC 29569-2901 BYRD MELINDA PH#: 843-655-4133 LORIS ADULT DAY CARE LLC Facility Email: [email protected] ADC-0277 / 10/31/2021 Number of Participants: 35

Totals For Facility/License Type: Adult Day Care Number of Activities/Facilities licensed: 3 Number Licensed Units: 175

1 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: Ambulatory Surgery Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

CAROLINA BONE AND JOINT SURGERY CENTER Horry / Ltd. Liability 4 101 SURGEONS DR 101 SURGEONS DR MYRTLE BEACH, SC 29579-5198 FAC.#:843-236-6633 MYRTLE BEACH, SC 29579-5198 KAPSHUCK GEORGIA PH#: CAROLINA BONE AND JOINT SURGERY CENTER LLC Facility Email: [email protected] ASF-0077 / 11/30/2020 Operating Rooms: 3 Procedure Rooms: 1 Endoscopy Rooms: 0 GRANDE DUNES SURGERY CENTER Horry / Ltd. Liability 5 1021 MEDICAL CIR STE 100 1021 MEDICAL CIR STE 100 MYRTLE BEACH, SC 29572-4618 FAC.#:843-449-7885 MYRTLE BEACH, SC 29572-4618 ROBERTS MISTY T PH#: 843-449-7885 CAROLINA REGIONAL SURGERY CENTER LTD Facility Email: [email protected] ASF-0069 / 01/31/2021 Operating Rooms: 3 Procedure Rooms: 1 Endoscopy Rooms: 1 PARKWAY SURGERY CENTER Horry / Ltd. Liability 3 827 82ND PKWY 827 82ND PKWY MYRTLE BEACH, SC 29572-4607 FAC.#:843-286-2020 MYRTLE BEACH, SC 29572-4607 ANDERSON KIRSTEN PH#: 843-286-2020 PARKWAY SURGERY CENTER LLC Facility Email: [email protected] ASF-0061 / 10/31/2020 Operating Rooms: 2 Procedure Rooms: 1 Endoscopy Rooms: 0 RIVERTOWN SURGERY CENTER Horry / Ltd. Liability 6 822 FARRAR DR 822 FARRAR DR, RIVERTOWN MEDICAL PARK CONWAY, SC 29526-8747 FAC.#:843-347-9587 CONWAY, SC 29526-8747 VICK ALISON PH#: 843-347-9587 COASTAL CAROLINA CENTERS OF UROLOGY AND SURGERY Facility Email: [email protected] LLC ASF-0073 / 01/31/2021 Operating Rooms: 3 Procedure Rooms: 3 Endoscopy Rooms: 0 STRAND GASTROINTESTINAL ENDOSCOPY CENTER Horry / Corporation 3 945 82ND PKWY STE 2 945 82ND PKWY STE 2 MYRTLE BEACH, SC 29572-4610 FAC.#:843-839-2581 MYRTLE BEACH, SC 29572-4610 KELLEY CHRISTINE T PH#: 843-839-2581 STRAND GASTROINTESTINAL ENDOSCOPY INC Facility Email: [email protected] ASF-0062 / 11/30/2020 Operating Rooms: 0 Procedure Rooms: 0 Endoscopy Rooms: 3 SURGERY CENTER OF CONWAY Horry / Corporation 1 1405 MAIN ST CONWAY, SC 29526 MCMENEMY CHRIS PH#: 803-252-7979 SURGERY CENTER OF CONWAY INC Facility Email: [email protected] ASF-0141 / 12/31/2020 Operating Rooms: 1 Procedure Rooms: 0 Endoscopy Rooms: 0

Totals For Facility/License Type: Ambulatory Surgery Number of Activities/Facilities licensed: 6 Number Licensed Units: 22

2 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: Body Piercing Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

DR PIERCING Horry / Ltd. Liability 1 702 SEABOARD ST UNIT A 702 SEABOARD ST UNIT A MYRTLE BEACH, SC 29577-6554 FAC.#:843-445-9955 MYRTLE BEACH, SC 29577-6554 AISH NATALIE PH#: 843-445-9955 A & A CREATIONS LLC Facility Email: [email protected] BP-0180 / 05/31/2021 ELITE BODY PIERCING Horry / Limited Liability 1 673 ROBERT M GRISSOM PKWY MYRTLE BEACH, SC 29577-6564 FAC.#:843-448-2424 GRINBERG GUY PH#: 843-450-1114 ELITE BODY PIERCING LLC Facility Email: [email protected] BP-0202 / 07/31/2021 PIERCING PASSION Horry / Corporation 1 704 SEABOARD ST UNIT C PO BOX 8581 MYRTLE BEACH, SC 29577-6513 FAC.#:843-448-1471 MYRTLE BEACH, SC 29578-8581 PERRY STANLEY G PH#: 843-283-1367 PIERCING PASSION INC Facility Email: [email protected] BP-0164 / 03/31/2021 PITBULL PIERCING Horry / Corporation 1 700 SEABOARD ST UNIT E 700 SEABOARD ST UNIT E MYRTLE BEACH, SC 29577-6514 FAC.#:843-839-0436 MYRTLE BEACH, SC 29577-6514 PH#: INTERNATIONAL GROUP INVESTMENTS INC Facility Email: [email protected] BP-0222 / 05/31/2021 PROFESSIONAL BODY PIERCING BY JACKIE II Horry / Partnership 1 702 SEABOARD ST UNIT D 501 44TH AVE N APT A7 MYRTLE BEACH, SC 29577-6554 FAC.#:843-626-8400 MYRTLE BEACH, SC 29577-0855 CHATTAJ JACKIE PH#: 843-626-8400 GAVRIEL SHITRIT AND JACKIE CHATTAJ Facility Email: [email protected] BP-0162 / 03/31/2021 WILDSIDE PIERCING Horry / Sole Proprietorship 1 1630 STOCKHOLDER AVE MYRTLE BEACH, SC 29577 FAC.#:843-231-8244 PH#: PARIS STEVEN M Facility Email: [email protected] BP-0276 / 08/31/2021

Totals For Facility/License Type: Body Piercing Number of Activities/Facilities licensed: 6 Number Licensed Units: 6

3 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: CDAP Inpatient Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

SHORELINE BEHAVIORAL HEALTH SERVICES (PSAD-INPATIENT) Horry / Corporation 10 901 BELL ST PO BOX 136 CONWAY, SC 29526-4113 FAC.#:843-488-1300 CONWAY, SC 29528-0136 COFFIN JOHN F PH#: 843-365-8884 SHORELINE BEHAVIORAL HEALTH SERVICES Facility Email: [email protected] RF-0021 / 05/31/2021 Licensed Beds:Medical Detox: 0 Social Detox: 0 Res. Trestment Program: 10

Totals For Facility/License Type: CDAP Inpatient Number of Activities/Facilities licensed: 1 Number Licensed Units: 10

4 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: CDAP Outpatient Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

BEHAVIOR BALANCE Horry / Limited Liability 1 3439 CASEY ST 770 VAIL RD LORIS, SC 29569-2903 FAC.#:843-756-7171 PIKEVILLE, NC 27863 CALHOUN HOWARD PH#: 919-271-2668 BEHAVIOR BALANCE LLC Facility Email: [email protected] OPF-0199 / 09/30/2020 (Renewal Pending)

Certifications:None CENTER OF HOPE OF MYRTLE BEACH Horry / Limited Liability 1 104 GEORGE BISHOP PKWY 100 ABINGDON PL MYRTLE BEACH, SC 29579-7335 FAC.#:843-903-6212 ABINGDON, VA 24211-6122 ROUNDTREE MARIA PH#: 843-903-6212 CENTER OF HOPE OF MYRTLE BEACH LLC Facility Email: [email protected] OPFN-0068 / 12/31/2020

Certifications:Narcotics Treatment Program, Methodone Treatment Program COASTAL RECOVERY CENTER Horry / Non-Profit Corporation 1 1113 44TH AVE N STE 100 1304 AZALEA CT STE A MYRTLE BEACH, SC 29577-5723 FAC.#:843-449-6261 MYRTLE BEACH, SC 29577-5723 VAUGHN STEPHANIE PH#: 836 INC Facility Email: [email protected] OPF-0092 / 07/31/2021

Certifications:None HORRY COUNTY DRUG COURT Horry / County 2 114 LAUREL ST 114 LAUREL ST CONWAY, SC 29526-5134 FAC.#:843-915-5695 CONWAY, SC 29526-5134 TOWNSEND CANDY S PH#: 843-915-5695 15TH JUDICIAL CIRCUIT SOLICITORS OFFICE Facility Email: [email protected] OPF-0105 / 08/31/2021

Certifications:None PIVOTAL SOLUTIONS LLC Horry / 1 400 GEORGE BISHOP PKWY 400 GEORGE BISHOP PKWY MYRTLE BEACH, SC 29579 FAC.#:843-236-1157 MYRTLE BEACH, SC 29579 PH#: PIVOTAL SOLUTIONS LLC Facility Email: [email protected] OPF-0193 / 11/30/2020

Certifications:None SHORELINE BEHAVIORAL HEALTH SERVICES (OTP) Horry / Corporation 2 2404 WISE RD PO BOX 136 CONWAY, SC 29526-5521 FAC.#:843-365-8884 CONWAY, SC 29528-0136 SADLER CRYSTAL PH#: 843-365-8884 SHORELINE BEHAVIORAL HEALTH SERVICES Facility Email: [email protected] OPF-0016 / 08/31/2021

Certifications:None

5 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

Totals For Facility/License Type: CDAP Outpatient Number of Activities/Facilities licensed: 6 Number Licensed Units: 8

6 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: Community Residential Care Facility Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

ANDERSON OAKS ASSISTED LIVING Horry / Corporation 80 997 HWY 90 997 HWY 90 CONWAY, SC 29526-7520 FAC.#:843-347-9280 CONWAY, SC 29526-2750 WISE WYATT E PH#: 843-347-9280 HERMAN L ANDERSON INC Facility Email: WYATTWISE@ANDERSONOAKSASSISTEDLIVING. CRC-1506 / 07/31/2021 COM Alzheimer Care:Yes Max # Resident:10 Alzheimer Unit: No Max # Beds: 0 Certifications:None BRIGHTWATER ASSISTED LIVING Horry / Limited Liability 56 201 BRIGHTWATER DR 3530 TORINGDON WAY STE 204 MYRTLE BEACH, SC 29579-8298 FAC.#:843-903-8940 CHARLOTTE, NC 28277-3436 JUSTICE JAMES C PH#: 843-903-8490 BRIGHTWATER RETIREMENT LLC Facility Email: [email protected] CRC-1489 / 04/30/2021 Alzheimer Care:Yes Max # Resident:11 Alzheimer Unit: Yes Max # Beds: 32 Certifications:None BROOKDALE CONWAY Horry / Limited Liability 52 872 SINGLETON RIDGE RD CONWAY, SC 29526-9166 FAC.#:843-347-3050 PH#: BKD CONWAY SC LLC Facility Email: [email protected] CRC-2143 / 01/31/2021 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None CAROLINA GARDENS AT CONWAY Horry / Limited Liability 100 2310 HWY 378 2310 HWY 378 CONWAY, SC 29527 FAC.#:843-397-1010 CONWAY, SC 29527 FRANKS MIRANDA PH#: 843-397-1010 SGS CONWAY OPCO LLC Facility Email: [email protected] CRC-2059 / 03/31/2021 Alzheimer Care:Yes Max # Resident:0 Alzheimer Unit: Yes Max # Beds: 28 Certifications:None CAROLINA GARDENS AT GARDEN CITY Horry / Limited Liability 111 11951 GRANDHAVEN DR MURRELS INLET, SC 29576-7843 FAC.#:843-357-0200 PH#: VP GARDEN CITY OPCO LLC Facility Email: [email protected] CRC-2115 / 12/31/2020 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None

7 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

INLET OAKS ASSISTED LIVING COMMUNITY Horry / Corporation 60 12287 HWY 707 12287 HWY 707 MURRELLS INLET, SC 29576-9739 FAC.#:843-357-0317 MURRELLS INLET, SC 29576-9739 GRAHAM DENISE PH#: PARTNERS IN HOPE INC Facility Email: [email protected] CRC-1560 / 12/31/2020 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None LADIES COMMUNITY RESIDENCE Horry / County 8 408 WEBB ST 408 WEBB ST CONWAY, SC 29527-5842 FAC.#:843-349-7271 CONWAY, SC 29527-5842 CORNELL TERRY PH#: 843-349-7271 HORRY COUNTY DISABILITIES AND SPECIAL NEEDS Facility Email: [email protected] BOARD CRC-1449 / 07/31/2021 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None LOIS EARGLE HOME Horry / County 8 406 WEBB ST 408 WEBB ST CONWAY, SC 29527-5842 FAC.#:843-349-7272 CONWAY, SC 29527-5842 CORNELL TERRY A PH#: 843-349-7272 HORRY COUNTY DISABILITIES AND SPECIAL NEEDS Facility Email: [email protected] BOARD CRC-1450 / 07/31/2021 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None MYRTLE BEACH ESTATES Horry / Corporation 142 3620 HAPPY WOODS CT 3620 HAPPY WOODS CT MYRTLE BEACH, SC 29588-2925 FAC.#:843-293-8888 MYRTLE BEACH, SC 29588-2925 CRAWFORD BRYAN PH#: 843-293-8888 CSL LEASECO INC Facility Email: [email protected] CRC-1403 / 11/30/2020 Alzheimer Care:Yes Max # Resident:0 Alzheimer Unit: Yes Max # Beds: 42 Certifications:None MYRTLE BEACH MANOR RETIREMENT COMMUNITY Horry / Limited Liability 111 9547 HWY 17 N MYRTLE BEACH, SC 29572-0000 FAC.#:843-449-5283 PH#: SNH SC TENANT LLC Facility Email: [email protected] CRC-2123 / 01/31/2021 Alzheimer Care:Yes Max # Resident:0 Alzheimer Unit: Yes Max # Beds: 30 Certifications:None

8 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

OAKS OF LORIS Horry / Corporation 60 260 WATSON HERITAGE RD 260 WATSON HERITAGE RD LORIS, SC 29569 FAC.#:843-716-4673 LORIS, SC 29569 FLECKNOE JANICE Q PH#: 000-000-0000 PARNERS IN HOPE INC Facility Email: [email protected] CRC-1547 / 06/30/2021 Alzheimer Care:Yes Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None PALMETTOS OF GARDEN CITY Horry / Limited Liability Company 90 9415 HWY 17 BYPASS 9415(multiple HWY 17 member) BYPASS MURRELLS INLET, SC 29576 FAC.#:843-668-2500 MURRELLS INLET, SC 29576 CRONIN TERIANN PH#: 843-668-2500 PALMETTOS OF GARDEN CITY LLC Facility Email: [email protected] CRC-1649 / 06/30/2021 Alzheimer Care:Yes Max # Resident:0 Alzheimer Unit: Yes Max # Beds: 20 Certifications:None PORTSIDE AT GRANDE DUNES Horry / Limited Liability 120 901 PORTSIDE DR 7420 BRIDGEPORT RD STE 105 MYRTLE BEACH, SC 29572 FAC.#:843-999-2494 PORTLAND, OR 97224 MACK JR JAMES HAROLD PH#: 843-999-2494 PORTSIDE RESIDENCES LLC Facility Email: [email protected] CRC-1995 / 02/28/2021 Alzheimer Care:Yes Max # Resident:0 Alzheimer Unit: Yes Max # Beds: 32 Certifications:None REFLECTIONS AT CAROLINA FOREST Horry / Corporation 42 219 MIDDLEBURG DR 219 MIDDLEBURG DR MYRTLE BEACH, SC 29579-3409 FAC.#:843-903-0700 MYRTLE BEACH, SC 29579-3409 PH#: REFLECTIONS AT CAROLINA FOREST INC Facility Email: [email protected] CRC-1456 / 11/30/2020 Alzheimer Care:Yes Max # Resident:0 Alzheimer Unit: Yes Max # Beds: 11 Certifications:None RIVER PARK SENIOR LIVING Horry / Limited Liability 90 190 RIVER PARK DR PO BOX 6384 LITTLE RIVER, SC 29566 FAC.#:843-741-0082 SPARTANBURG, SC 29304-6384 JACKSON TOMMY PH#: 843-741-0082 CR RIVER PARK LLC Facility Email: [email protected] CRC-1962 / 02/28/2021 Alzheimer Care:Yes Max # Resident:0 Alzheimer Unit: Yes Max # Beds: 25 Certifications:None

9 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

ST GABRIEL OF MURRELLS INLET Horry / Limited Liability 110 699 PRINCE CREEK PKWY MURRELLS INLET, SC 29576 FAC.#:843-353-1525 RICHARDSON JACQUE W PH#: 843-353-1525 VERITAS SENIOR LIVING LLC Facility Email: [email protected] CRC-2110 / 07/31/2021 Alzheimer Care:Yes Max # Resident:0 Alzheimer Unit: Yes Max # Beds: 25 Certifications:None SUMMIT PLACE OF NORTH MYRTLE BEACH Horry / Corporation 80 491 HWY 17 400 CENTRE ST, LICENSING DEPT LITTLE RIVER, SC 29566-8082 FAC.#:843-399-5662 NEWTON, MA 02458-2094 HAYES ELIZABETH A PH#: SNH SE N MYRTLE BEACH TENANT LLC Facility Email: [email protected] CRC-1360 / 06/30/2021 Alzheimer Care:Yes Max # Resident:23 Alzheimer Unit: Yes Max # Beds: 24 Certifications:None

Totals For Facility/License Type: Community Residential Care Facility Number of Activities/Facilities licensed: 17 Number Licensed Units: 1,320

10 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: Home Health Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

AMEDISYS HOME HEALTH OF CONWAY Horry / Limited Liability 5 208 ELM ST 176 WACCAMAW MEDICAL PARK CT CONWAY, SC 29526 FAC.#:866-205-4247 CONWAY, SC 29526-8965 JONES BRITTANY PH#: 843-347-5899 AMEDISYS HOME HEALTH OF SOUTH CAROLINA LLC Facility Email: [email protected] HHA-0195 / 03/31/2021 Counties Served: Darlington, Dillon, Horry, Marion, Marlboro License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy:Y Med. Social Services:Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other:

AMEDISYS HOME HEALTH OF MYRTLE BEACH Horry / Limited Liability 1 1309 PROFESSIONAL DR STE 100 1309 PROFESSIONAL DR STE 100 MYRTLE BEACH, SC 29577-5701 FAC.#:843-916-0931 MYRTLE BEACH, SC 29577-5701 NEASBITT LEISA VICTORIA PH#: 843-916-0931 GEORGETOWN HOSPITAL HOME HEALTH LLC Facility Email: [email protected] HHA-0187 / 01/31/2021 Counties Served: Horry License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy:Y Med. Social Services:Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other:

KINDRED AT HOME-COASTAL Horry / Limited Liability 3 1240 21ST AVE N STE 200 12900 FOSTER ST STE 400 MYRTLE BEACH, SC 29577-7401 FAC.#:843-448-7060 OVERLAND PARK, KS 66213-2696 MILLER AMANDA J PH#: 843-448-7060 TOTAL CARE HOME HEALTH OF SOUTH CAROLINA LLC Facility Email: [email protected] HHA-0179 / 11/30/2020 Counties Served: Georgetown, Horry, Williamsburg License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy:Y Med. Social Services:Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other:

LIBERTY HOME CARE-MYRTLE BEACH Horry / Ltd. Liability 2 1293 PROFESSIONAL DR STE C 1293 PROFESSIONAL DR STE C MYRTLE BEACH, SC 29577-5754 FAC.#:843-839-2273 MYRTLE BEACH, SC 29577-5754 HARRIS KAREN PH#: 843-839-2273 LIBERTY HOME CARE LLC Facility Email: [email protected] HHA-0163 / 12/31/2020 Counties Served: Georgetown, Horry License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy:Y Med. Social Services:Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other:

11 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

MEDICAL SERVICES OF AMERICA - COASTAL Horry / Corporation 11 4685 HWY 17 BYP S 4685 HWY 17 BYP S MYRTLE BEACH, SC 29577-6681 FAC.#:843-293-4614 MYRTLE BEACH, SC 29577-6681 MOORE TONYA PH#: INCARE HOME HEALTH INC Facility Email: [email protected] HHA-0039 / 02/28/2021 Counties Served: Berkeley, Charleston, Chesterfield, Darlington, Dillon, Florence, Georgetown, Horry, Marion, Marlboro, Williamsburg License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy:Y Med. Social Services:Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: Y Other: DIETARY

MUSC HEALTH AT HOME BY BAYADA - CONWAY Horry / Limited Liability 2 1300 S CAROLINA HWY 544 STE F-107 CONWAY, SC 29526 FAC.#:843-492-6602 BLASZCYZK BRYAN PH#: 843-492-6602 SCHHA LLC Facility Email: [email protected] HHA-0329 / 01/31/2021 Counties Served: Georgetown, Horry License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy:Y Med. Social Services:Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: SKILLED NURSING SERVICES

NHC HOMECARE-MURRELLS INLET Horry / Limited Liability 4 11947 GRANDHAVEN DR STE K 9405 HWY 17 BYP MURRELLS INLET, SC 29576 FAC.#:843-945-9850 MURRELLS INLET, SC 29576-9301 SIMMONS JULIE C PH#: 803-641-9955 NHC HOMECARE-SOUTH CAROLINA LLC Facility Email: [email protected] HHA-0215 / 09/30/2021 Counties Served: Dillon, Georgetown, Horry, Marion License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy:Y Med. Social Services:Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: N Other: DIETARY CONSULTATION

12 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

WELL CARE HOME HEALTH OF THE LOWCOUNTRY Horry / Corporation 9 1039 44TH AVENUE NORTH STE 101 MYRTLE BEACH, SC 29577 FAC.#:888-815-5310 GROSS-MILLSAP CATHY PH#: WELL CARE HOME HEALTH OF THE LOWCOUNTRY INC Facility Email: [email protected] HHA-0339 / 05/31/2021 Counties Served: Beaufort, Berkeley, Charleston, Colleton, Dorchester, Georgetown, Horry, Marion, Williamsburg License Restrictions: Physical Therapy: Y Speech Therapy: Y Occupational Therapy:Y Med. Social Services:Y Home Health Aid: Y Medical Supplies/Appliances/Durable Medical Equipment: Y Other: SKILLED NURSING

Totals For Facility/License Type: Home Health Number of Activities/Facilities licensed: 8 Number Licensed Units: 37

13 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: Hospice Facility Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

EMBRACE HOSPICE HOUSE OF THE GRAND STRAND Horry / Limited Liability 36 175 VILLAGE CENTER BLVD 1831 W EVANS ST STE 315 MYRTLE BEACH, SC 29579-6619 FAC.#:843-353-6228 FLORENCE, SC 29501-3300 MCHUGH KEVIN JOSEPH PH#: 843-353-6228 EMBRACE HOSPICE OF SOUTH CAROLINA LLC Facility Email: [email protected] HPF-0028 / 08/31/2021

Totals For Facility/License Type: Hospice Facility Number of Activities/Facilities licensed: 1 Number Licensed Units: 36

14 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: Hospice Program Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

ANGELIC HEALTH OF SC Horry / Limited Liability 6 923 MEDICAL CIR MYRTLE BEACH, SC 29572-4116 FAC.#:609-822-7979 PH#: ANGELIC HEALTH OF SC LLC Facility Email: [email protected] HPC-0241 / 09/30/2021 Counties Served: Dillon, Florence, Georgetown, Horry, Marion, Williamsburg EMBRACE HOSPICE OF SOUTH CAROLINA Horry / Limited Liability 3 175 VILLAGE CENTER BLVD 1831 W EVANS ST STE 315 MYRTLE BEACH, SC 29579-6619 FAC.#:843-615-4325 FLORENCE, SC 29501-3300 MCHUGH KEVIN JOSEPH PH#: 843-353-6228 EMBRACE HOSPICE OF SOUTH CAROLINA LLC Facility Email: [email protected] HPC-0141 / 08/31/2021 Counties Served: Georgetown, Horry, Marion HEARTLAND HOSPICE SERVICES Horry / Limited Liability 5 2411 N OAK ST STE 108 2411 N OAK ST STE 108 MYRTLE BEACH, SC 29577 FAC.#:843-444-0813 MYRTLE BEACH, SC 29577 KAWAKAMI MELISSA S PH#: 843-444-0813 HEARTLAND HOSPICE SERVICES LLC Facility Email: [email protected] HPC-0135 / 12/31/2020 Counties Served: Florence, Georgetown, Horry, Marion, Williamsburg HOMESTEAD HOSPICE OF AUGUSTA Horry / Limited Liability 46 215 RONNIE COURT DR UNIT D 10888 CRABAPPLE RD MYRTLE BEACH, SC 29579 FAC.#:843-504-3421 ROSWELL, GA 30075-5850 TILLEY BARBARA JEAN PH#: CREATIVE HOSPICE HOLDING LLC Facility Email: [email protected] HPC-0171 / 06/30/2021 Counties Served: Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown, Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens, Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York LOWER CAPE FEAR LIFECARE Horry / Non-Profit Corporation 3 8216 DEVON CT 1414 PHYSICIANS DR MYRTLE BEACH, SC 29572-4178 FAC.#:843-848-6480 WILMINGTON, NC 28401-7335 WHITLEY GWEN PH#: 910-796-7900 LOWER CAPE FEAR HOSPICE Facility Email: [email protected] HPC-0053 / 12/31/2020 Counties Served: Georgetown, Horry, Marion

15 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

MEDICAL SERVICES OF AMERICA HOSPICE-COASTAL Horry / Corporation 46 4685 HWY 17 BYP S PO BOX 609 MYRTLE BEACH, SC 29577-6681 FAC.#:843-293-4614 LEXINGTON, SC 29071-0609 PROTHRO DENISE PH#: 843-322-0063 INCARE HOME HEALTH INC Facility Email: [email protected] HPC-0076 / 05/31/2021 Counties Served: Abbeville, Aiken, Allendale, Anderson, Bamberg, Barnwell, Beaufort, Berkeley, Calhoun, Charleston, Cherokee, Chester, Chesterfield, Clarendon, Colleton, Darlington, Dillon, Dorchester, Edgefield, Fairfield, Florence, Georgetown, Greenville, Greenwood, Hampton, Horry, Jasper, Kershaw, Lancaster, Laurens, Lee, Lexington, Marion, Marlboro, McCormick, Newberry, Oconee, Orangeburg, Pickens, Richland, Saluda, Spartanburg, Sumter, Union, Williamsburg, York

Totals For Facility/License Type: Hospice Program Number of Activities/Facilities licensed: 6 Number Licensed Units: 109

16 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: Hospital or Institutional General Infirmary Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

CONWAY HOSPITAL Horry / Non-Profit Corporation 210 300 SINGLETON RIDGE RD 300 SINGLETON RIDGE RD, ACCOUNTING DEPARTMENT CONWAY, SC 29526-9142 FAC.#:843-347-7111 CONWAY, SC 29526 PH#: CONWAY HOSPITAL INC Facility Email: [email protected] HTL-0083 / 05/31/2021 Licensed Beds: General: 210 Psychiatric: 0 Rehab: 0 Substance Abuse: 0 Other Beds : NICU: 0 Neonatal Special Care: 6

Certifications:Trauma Center Level III, Perinatal Level II GRAND STRAND MEDICAL CENTER Horry / Ltd. Liability 371 809 82ND PKWY 809 82ND PKWY MYRTLE BEACH, SC 29572-4611 FAC.#:843-692-1000 MYRTLE BEACH, SC 29572-4611 SIMS MARK PH#: 813-692-1000 GRAND STRAND REGIONAL MEDICAL CENTER LLC Facility Email: [email protected] HTL-0770 / 04/30/2021 Licensed Beds: General: 325 Psychiatric: 22 Rehab: 24 Substance Abuse: 0 Other Beds : NICU: 0 Neonatal Special Care: 2

Certifications:Trauma Center Level I, Perinatal Level II, JCAHO Accredited LIGHTHOUSE BEHAVIORAL HEALTH HOSPITAL Horry / Corporation 105 152 WACCAMAW MEDICAL PARK DR 152 WACCAMAW MEDICAL PARK DR CONWAY, SC 29526-8901 FAC.#:843-347-8871 CONWAY, SC 29526-8901 PH#: HHC SOUTH CAROLINA INC Facility Email: [email protected] HTL-0898 / 01/31/2021 Licensed Beds: General: 0 Psychiatric: 76 Rehab: 0 Substance Abuse: 29 Other Beds : NICU: 0 Neonatal Special Care: 0

Certifications:JCAHO Accredited MCLEOD LORIS Horry / Non-Profit Corporation 50 3655 MITCHELL ST PO BOX 690001 LORIS, SC 29569-2844 FAC.#:843-716-7000 LORIS, SC 29569-9601 PH#: MCLEOD LORIS SEACOAST HOSPITAL Facility Email: [email protected] HTL-0033 / 01/31/2021 Licensed Beds: General: 50 Psychiatric: 0 Rehab: 0 Substance Abuse: 0 Other Beds : NICU: 0 Neonatal Special Care: 0

Certifications:Perinatal Level I, JCAHO Accredited MCLEOD SEACOAST Horry / Non-Profit Corporation 105 4000 HWY 9 E PO BOX 690001 LITTLE RIVER, SC 29566-7833 FAC.#:843-390-8100 LORIS, SC 29569-9601 VEHIGE MONICA PH#: 843-390-8100 MCLEOD LORIS SEACOAST HOSPITAL Facility Email: [email protected] HTL-0910 / 01/31/2021 Licensed Beds: General: 105 Psychiatric: 0 Rehab: 0 Substance Abuse: 0 Other Beds : NICU: 0 Neonatal Special Care: 0

Certifications:JCAHO Accredited

17 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

TIDELANDS HEALTH REHABILITATION HOSPITAL AT LITTLE Horry / Limited Liability 46 RIVER AN AFFILIATE OF ENCOMPASS HEALTH 100 WATER GRANDE BLVD 100 WATER GRANDE BLVD LITTLE RIVER, SC 29566 LITTLE RIVER, SC 29566 FAC.#:843-366-4000 MYRTLE BEACH REHABILITATION HOSPITAL LLC SWANSON CAREY PH#: 803-366-4000 HTL-0941 / 05/31/2021 FacilityLicensed Email: Beds: [email protected]: 0 Psychiatric: 0 Rehab: 46 Substance Abuse: 0 Other Beds : NICU: 0 Neonatal Special Care: 0 Certifications:None

Totals For Facility/License Type: Hospital or Institutional General Infirmary Number of Activities/Facilities licensed: 6 Number Licensed Units: 887

18 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: Inhome Care Provider Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

5 STAR HOME CARE Horry / Corporation - 1 1000 21ST AVENUE NORTH STE 10 MYRTLE BEACH, SC 29577 FAC.#:843-212-7986 JOHNSON MICHELLE PH#: 843-756-5487 5 STAR HOME CARE INC Facility Email: [email protected] IHCP-0825 / 03/31/2021 ALL ABOUT YOU HOME CARE INC Horry / Corporation - 1 202 ELM ST STE 106 CONWAY, SC 29526 FAC.#:814-720-4423 LONG CONNIE PH#: 814-795-5083 ALL ABOUT YOU HOME CARE INC Facility Email: [email protected] IHCP-1177 / 04/30/2021 ALL WAYS CARING HOMECARE MYRTLE BEACH Horry / Corporation - 1 1109 48TH AVENUE N UNIT 118 1111 48TH AVE N STE 116 MYRTLE BEACH, SC 29577-5440 FAC.#:843-692-2557 MYRTLE BEACH, SC 29577-5440 LEWIS CHRIS PH#: 864-386-0958 SOUTHERN HOME CARE SERVICES INC Facility Email: [email protected] IHCP-0015 / 06/30/2021 ALWAYS BEST CARE OF THE GRAND STRAND Horry / Corporation - 1 811 8TH AVE S STE B 3800 FOREST DR STE C-201 SURFSIDE BEACH, SC 29575 FAC.#:843-640-0129 COLUMBIA, SC 29204 PH#: NLR SERVICES INC Facility Email: [email protected] IHCP-0789 / 10/31/2021 AMERICARE HOMEMAKERS LLC Horry / Sole Proprietorship - 1 671 JAMESTOWN DR 202F 671 JAMESTOWN DR UNIT 202F MURRELLS INLET, SC 29576 FAC.#:843-254-8818 MURRELLS INLET, SC 29576 PH#: GATTIS HARRIET DARLENE Facility Email: [email protected] IHCP-0386 / 09/30/2020 (Renewal Pending) ARCHANGEL HOME CARE LLC Horry / Limited Liability - 1 4207 SEA MOUNTAIN HWY UNIT C LITTLE RIVER, SC 29566 FAC.#:843-446-8940 SAVAGE TASHA D PH#: 803-446-8940 ARCHANGEL HOME CARE LLC Facility Email: [email protected] IHCP-0978 / 01/31/2021 ATLANTIC HEALTHCARE GROUP INC Horry / Corporation - 1 911 CREEL ST PO BOX 1627 CONWAY, SC 29527-5001 FAC.#:843-488-4001 CONWAY, SC 29528 PH#: ATLANTIC HEALTHCARE GROUP INC Facility Email: [email protected] IHCP-0153 / 05/31/2021 BEACHSIDE HOME SERVICE Horry / Limited Liability - 1 917 BROADWAY ST PO BOX 534 MYRTLE BEACH, SC 29577 FAC.#:843-508-8115 DUNN, NC 28335 PH#: BEACHSIDE HOME SERVICE LLC Facility Email: [email protected] IHCP-0727 / 03/31/2021

19 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

BRIGHTWATER WELL CARE Horry / Limited Liability - 1 101 BRIGHTWATER DR 101 BRIGHTWATER DR MYRTLE BEACH, SC 29579 FAC.#:843-903-8300 MYRTLE BEACH, SC 29579-8275 FRYAR LESLIE PH#: 843-903-8318 LIVE LONG WELL CARE LLC Facility Email: [email protected] IHCP-0079 / 03/31/2021 CAREGIVERS OF SOUTH CAROLINA LLC Horry / Limited Liability - 1 4691 DICK POND ROAD UNIT C 1926 ROLLING HILLS DR MYRTLE BEACH, SC 29588 FAC.#:843-347-6440 CONWAY, SC 29526-9113 PH#: CAREGIVERS OF SOUTH CAROLINA LLC Facility Email: DEB@[email protected] IHCP-0476 / 11/30/2020 CARING HANDS HOME CARE LLC USA Horry / Limited Liability - 1 649 MARTIN ST MYRTLE BEACH, SC 29577 FAC.#:843-945-1098 BRUNSON ANGELA PH#: 843-945-1098 CARING HANDS HOME CARE LLC USA Facility Email: [email protected] IHCP-0606 / 11/30/2020 CITY CARE HOME CARE Horry / Corporation - 1 2423 HWY 17 S STE 7 MYRTLE BEACH, SC 29582 FAC.#:917-542-1618 BERG MAX PH#: 917-542-1618 CITY CARE HOME HEALTH CORP Facility Email: [email protected] IHCP-1139 / 03/31/2021 COASTAL CAROLINA HOME CARE Horry / Limited Liability Limited - 1 1533 BILTMORE DR Partnership MYRTLE BEACH, SC 29579 FAC.#:843-957-5099 PH#: COASTAL CAROLINA HOME CARE PARTNERS LLP Facility Email: [email protected] IHCP-1169 / 08/31/2021 COMFORCARE SENIOR SERVICES - MYRTLE BEACH Horry / Limited Liability - 1 1110 LONDON ST STE 106 1110 LONDON ST STE 106 MYRTLE BEACH, SC 29577-5799 FAC.#:843-444-2483 MYRTLE BEACH, SC 29577-5799 PH#: J&S SENIOR SERVICES LLC Facility Email: [email protected] IHCP-0040 / 12/31/2020 COMFORT KEEPERS - MYRTLE BEACH Horry / Corporation - 1 3009 CHURCH ST UNIT A 1555 KATHWOOD DR MYRTLE BEACH, SC 29577 FAC.#:843-249-9200 COLUMBIA, SC 29206 KANE KRISTIN PH#: 843-249-9200 IN-HOME COMPASSIONATE CARE SERVICES INC Facility Email: KRISANDMIKE@MECOM IHCP-0762 / 07/31/2021 COMPASSIONATE CARE SENIOR SERVICES Horry / Limited Liability - 1 315 MAIN ST STE 10 315 MAIN ST STE 4 CONWAY, SC 29526-5147 FAC.#:843-438-8490 CONWAY, SC 29526-5147 AITKENS YVETTE PH#: 843-438-8490 COMPASSIONATE CARE SENIOR SERVICES Facility Email: YVETTE@COMPASSIONATECARESENIORSERVICE IHCP-0517 / 03/31/2021 S.C

20 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

EAST COAST NURSING SERVICES Horry / Limited Liability - 1 1318 4TH AVE 1318 4TH AVE CONWAY, SC 29526-5049 FAC.#:843-488-2493 CONWAY, SC 29526-5049 PH#: EAST COAST NURSING SERVICES LLC Facility Email: [email protected] IHCP-0218 / 07/31/2021 FIRSTLIGHT HOME CARE OF THE GRAND STRAND Horry / Corporation - 1 2520 HWY 17 BUSINESS UNIT 2 PO BOX 15433 GARDEN CITY, SC 29576 FAC.#:843-651-2273 SURFSIDE BEACH, SC 29575 RECUPERO JAMIE L PH#: 843-651-2273 FIRSTLIGHT HOME CARE OF THE GRAND STRAND INC Facility Email: [email protected] IHCP-0078 / 03/31/2021 FORGET ME NOT HOMECARE SERVICES LLC Horry / Limited Liability - 1 1717 HUSTED RD UNIT D 1717 HUSTED DR UNIT D CONWAY, SC 29526 FAC.#:843-234-0354 CONWAY, SC 29526 PH#: FORGET ME NOT HOMECARE SERVICES LLC Facility Email: [email protected] IHCP-0155 / 05/31/2021 GRAND STRAND COMFORT CARE Horry / - 1 2411 N OAK ST STE 105-J MYRTLE BEACH, SC 29577 FAC.#:843-626-2613 ROSENBERG ASHER PH#: 843-626-2613 GRANDSTRAND COMFORT CARE LLC Facility Email: INFO@GRANDSTRANDCOMFORTCARECOM IHCP-1063 / 04/30/2021 GRAND STRAND HOME CARE Horry / Limited Liability - 1 4999 CAROLINA FOREST BLVD UNIT 21 C MYRTLE BEACH, SC 29579 FAC.#:803-492-7292 SHETH NISHITA PH#: 803-464-9983 NISHI LLC Facility Email: [email protected] IHCP-0781 / 10/31/2020 GRISWOLD HOME CARE GREATER COLUMBIA-CHARLESTON REGION-Horry / Corporation - 1 PEE DEE-GRAND STRAND 195A PRATHER PARK DR 195A PRATHER PARK DR MYRTLE BEACH, SC 29588-7911 MYRTLE BEACH, SC 29588-7911 FAC.#:843-488-2849 CITADEL SERVICES INC JOHNSON FRANCIS PH#: 843-488-2849 IHCP-0263 / 08/31/2021 Facility Email: [email protected] HAPPY FAMILY HOMECARE LLC Horry / Limited Liability - 1 1297 PROFESSIONAL DR STE 201 MYRTLE BEACH, SC 29577 FAC.#:843-999-4491 PH#: HAPPY HOME HEALTH CARE LLC Facility Email: [email protected] IHCP-1156 / 11/30/2020 HEARTFUL HEARTS IN-HOME CARE Horry / Limited Liability - 1 2015 HWY 378 CONWAY, SC 29526 FAC.#:843-246-4726 WOODBURY SEEMONE PH#: 843-246-4726 HEARTFUL HEARTS IN-HOME CARE LLC Facility Email: [email protected] IHCP-1237 / 09/30/2021

21 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

HEAVENLY HELPERS NURSING SERVICES Horry / Limited Liability - 1 4502 HWY 17 BYP S MYRTLE BEACH, SC 29588-5614 FAC.#:843-831-0524 PH#: HEAVENLY HELPERS NURSING SERVICES LLC Facility Email: [email protected] IHCP-0486 / 12/31/2020 HOME CARE DIRECT LLC Horry / Limited Liability - 1 242 8TH AVE PO BOX 645 AYNOR, SC 29511-3222 FAC.#:843-358-2005 AYNOR, SC 29511-0645 PH#: HOME CARE DIRECT LLC Facility Email: [email protected] IHCP-0128 / 04/30/2021 HOME CARE HELPERS USA LLC Horry / Limited Liability - 1 618 CHESTNUT RD STE 103 618 CHESTNUT RD STE 103 MYRTLE BEACH, SC 29572-5504 FAC.#:843-213-0800 MYRTLE BEACH, SC 29572-5504 PH#: HOME CARE HELPERS USA LLC Facility Email: [email protected] IHCP-0046 / 01/31/2021 HOME CARE OF MYRTLE BEACH LLC Horry / Limited Liability - 1 1019 HWY 17 S STE 122 1019 HWY 17 S STE 122 NORTH MYRTLE BEACH, SC 29582-2805 FAC.#:843-360-5476NORTH MYRTLE BEACH, SC 29582-3702 PH#: HOME CARE OF MYRTLE BEACH LLC Facility Email: [email protected] IHCP-0237 / 07/31/2021 HOME INSTEAD SENIOR CARE OF MURRELLS INLET Horry / Limited Liability - 1 11746 HWY 17 BYPASS STE B 11746 HWY 17 BYPASS STE B MURRELLS INLET, SC 29576 FAC.#:843-357-9777 MURRELLS INLET, SC 29576 WILLIAMS DOUGLAS T PH#: 843-224-1405 HOME INSTEAD OF CHARLESTON LLC Facility Email: [email protected] IHCP-0054 / 02/28/2021 HOPE AND FREEDOM HOME CARE Horry / Limited Liability - 1 2903-A FOURTH AVE 8382 STILL MEADOW DR CONWAY, SC 29527 FAC.#:843-484-0838 CONWAY, SC 29527 PH#: HOPE AND FREEDOM HOME CARE LLC Facility Email: [email protected] IHCP-0675 / 02/28/2021 J & R ANGELS CARE SERVICES Horry / Limited Liability - 1 N MYRTLE BEACH BUSINESS CENTER 1019, HWY 17 S NORTH MYRTLE BEACH, SC 29582 FAC.#:843-877-0233 JACKSON JANELLA PH#: J & R ANGELS CARE SERVICES LLC Facility Email: [email protected] IHCP-1221 / 06/30/2021 LIFECARE HOME CARE Horry / Limited Liability - 1 3415 HWY 701 N UNIT B CONWAY, SC 29526 FAC.#:864-279-5967 PATEL MANSI PH#: 864-279-5967 SHANTILAL LLC Facility Email: [email protected] IHCP-1178 / 03/31/2021

22 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

PALMETTO PERSONAL CARE SERVICES INC Horry / Corporation - 1 4105 MAIN ST 4105 MAIN ST LORIS, SC 29569-3023 FAC.#:843-716-1700 LORIS, SC 29569-3023 PH#: PALMETTO PERSONAL CARE SERVICES INC Facility Email: [email protected] IHCP-0088 / 03/31/2021 PRN HOME CARE SERVICES Horry / Limited Liability - 1 1500 HWY 17 NORTH STE 201-H PO BOX 2745 SURFSIDE BEACH, SC 29575 FAC.#:843-655-4612 MURRELLS INLET, SC 29576 PH#: PRN HOME CARE SERVICES LLC Facility Email: [email protected] IHCP-0799 / 11/30/2020 RIGHT AT HOME MYRTLE BEACH Horry / Limited Liability - 1 1500 HWY 17 N STE 106 1500 HWY 17 N STE 106 SURFSIDE BEACH, SC 29575 FAC.#:843-651-4848 SURFSIDE BEACH, SC 29575 PH#: IN HOME CARE & ASSISTANCE LLC Facility Email: [email protected] IHCP-0294 / 08/31/2021 SANDHILLS INTERGRATED CARE Horry / Corporation - 1 3993 MEETING ST LORIS, SC 29569 FAC.#:843-756-3008 WARD BRITTANY M PH#: SANDHILLS INTERGRATED CARE INC Facility Email: [email protected] IHCP-0904 / 11/30/2020 TRUE CARE HOME CARE LLC Horry / Limited Liability - 1 900 B MAIN ST STE 201 CONWAY, SC 29526 FAC.#:843-484-0813 PH#: TRUE CARE HOME CARE LLC Facility Email: [email protected] IHCP-1305 / 09/30/2021 TRUSTED HOME CARE Horry / Limited Liability - 1 287-9 HWY 90 E 586 INDIGO BAY CIR LITTLE RIVER, SC 29566 FAC.#:843-663-0249 MYRTLE BEACH, SC 29579 PARKER SARAH PH#: 843-663-0249 SAI ENTERPRISE GROUP LLC Facility Email: [email protected] IHCP-0807 / 01/31/2021 VISITING ANGELS OF MYRTLE BEACH Horry / Limited Liability - 1 2105 CROMLEY CIR STE D 2105 CROMLEY CIR STE D MYRTLE BEACH, SC 29577-3168 FAC.#:843-970-2888 MYRTLE BEACH, SC 29577-3168 NAGY MELANIE D PH#: HOME CARE SERVICES OF MYRTLE BEACH LLC Facility Email: [email protected] IHCP-0491 / 12/31/2020 WE CARE HOME CARE Horry / Limited Liability - 1 1200 MAIN ST STE E CONWAY, SC 29526 FAC.#:843-488-2972 PACE NICOLE PH#: 843-488-2972 WE CARE HOME CARE GROUP LLC Facility Email: [email protected] IHCP-1073 / 04/30/2021

23 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

WE CARE HOME CARE Horry / Limited Liability - 1 1200 MAIN ST STE E CONWAY, SC 29526 FAC.#:843-488-2972 PH#: WE CARE HOME CARE GROUP LLC Facility Email: [email protected] IHCP-1329 / 08/31/2021

Totals For Facility/License Type: Inhome Care Provider Number of Activities/Facilities licensed: 41 Number Licensed Units: - 41

24 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: Nursing Home Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

BRIGHTWATER SKILLED NURSING CENTER Horry / Limited Liability 67 171 BRIGHTWATER DR 3530 TORINGDON WAY STE 204 MYRTLE BEACH, SC 29579 FAC.#:843-903-8300 CHARLOTTE, NC 28277-3436 PH#: BRIGHTWATER RETIREMENT LLC Facility Email: [email protected] NCF-0955 / 04/30/2021 Licensed Beds: Nursing Home: 67 Institutional Nursing Home: 0 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None COMPASS POST ACUTE REHABILITATION Horry / Corporation 95 2320 HWY 378 27101 PUERTA REAL STE 450 CONWAY, SC 29527-4911 FAC.#:843-397-2273 MISSION VIEJO, CA 92691-8566 TILLER RAYMOND PH#: 843-397-2273 CAROLINA HEALTHCARE INC Facility Email: [email protected] NCF-0977 / 12/31/2020

Licensed Beds: Nursing Home: 95 Institutional Nursing Home: 0 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None CONWAY MANOR Horry / Ltd. Liability 190 3300 4TH AVE 3300 4TH AVE CONWAY, SC 29527-6002 FAC.#:843-248-5728 CONWAY, SC 29527-6002 PH#: CONWAY MANOR LLC Facility Email: [email protected] NCF-0899 / 05/31/2021

Licensed Beds: Nursing Home: 190 Institutional Nursing Home: 0 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None GRAND STRAND REHAB AND NURSING CENTER Horry / Limited Liability 88 4452 SOCASTEE BLVD 116 CASHUA ST MYRTLE BEACH, SC 29588-7253 FAC.#:843-293-1137 DARLINGTON, SC 29532-3202 PH#: GRAND STRAND REHAB AND NURSING CENTER LLC Facility Email: [email protected] NCF-0993 / 09/30/2021 Licensed Beds: Nursing Home: 88 Institutional Nursing Home: 0 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None

25 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

LORIS REHAB AND NURSING CENTER Horry / Limited Liability 88 3620 STEVENS ST 116 CASHUA ST LORIS, SC 29569-2953 FAC.#:843-716-7106 DARLINGTON, SC 29532-3202 OATES BROCK PH#: 843-716-7106 LORIS REHAB AND NURSING CENTER LLC Facility Email: [email protected] NCF-0207 / 08/31/2021 Licensed Beds: Nursing Home: 88 Institutional Nursing Home: 0 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None MYRTLE BEACH MANOR Horry / Limited Liability 60 9547 HWY 17 N MYRTLE BEACH, SC 29572-0000 FAC.#:843-449-5283 HAYES ELIZABETH ANN PH#: 843-449-5283 SNH SC TENANT LLC Facility Email: [email protected] NCF-1041 / 12/31/2020

Licensed Beds: Nursing Home: 60 Institutional Nursing Home: 0 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None NHC HEALTHCARE GARDEN CITY Horry / Ltd. Liability 148 9405 HWY 17 BYP PO BOX 309 MURRELLS INLET, SC 29576-9301 FAC.#:843-650-2213 MURRELLS INLET, SC 29576-0309 PH#: NHC HEALTHCARE/GARDEN CITY LLC Facility Email: [email protected] NCF-0825 / 10/31/2020

Licensed Beds: Nursing Home: 148 Institutional Nursing Home: 0 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None PRUITTHEALTH - CONWAY AT CONWAY MEDICAL CENTER Horry / Limited Liability 88 2379 CYPRESS CIR CONWAY, SC 29526-8921 FAC.#:843-347-8179 PH#: PRUITTHEALTH - CONWAY LLC Facility Email: [email protected] NCF-1007 / 10/31/2020 Licensed Beds: Nursing Home: 88 Institutional Nursing Home: 0 Alzheimer Care:No Max # Resident:0 Alzheimer Unit: No Max # Beds: 0 Certifications:None

Totals For Facility/License Type: Nursing Home Number of Activities/Facilities licensed: 8 Number Licensed Units: 824

26 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: Renal Dialysis Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

CONWAY DIALYSIS CENTER Horry / Corporation 20 838 FARRAR DR 838 FARRAR DR CONWAY, SC 29526-8747 FAC.#:843-347-5111 CONWAY, SC 29526-8747 BARCZAK CASSIE PH#: 843-347-5111 BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA INC Facility Email: [email protected] ERD-0150 / 10/31/2020

Licensed Stations: Hemodialysis: 20 Peritoneal: 0 FMC DIALYSIS SERVICES-NORTH MYRTLE BEACH Horry / Corporation 24 1307 13TH AVENUE N 710 A HWY 17 S NORTH MYRTLE BEACH, SC 29582 FAC.#:843-361-1709 NORTH MYTLE BEACH, SC 29582 MENZEL STEPHANIE PH#: 843-361-1709 BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA INC Facility Email: [email protected] ERD-0093 / 02/28/2021

Licensed Stations: Hemodialysis: 21 Peritoneal: 3 FRESENIUS MEDICAL CARE MYRTLE BEACH Horry / Corporation 23 4592 OLEANDER DR 4592 OLEANDER DR MYRTLE BEACH, SC 29577-5747 FAC.#:843-839-4273 MYRTLE BEACH, SC 29577-5747 PH#: BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA INC Facility Email: [email protected] ERD-0186 / 04/30/2021

Licensed Stations: Hemodialysis: 21 Peritoneal: 2 FRESENIUS MEDICAL CARE WEST CONWAY Horry / Corporation 20 1702 MILL POND RD 1702 MILL POND RD CONWAY, SC 29527-4745 FAC.#:843-488-0328 CONWAY, SC 29527-4745 CRAMER ROSARIA PH#: 843-488-0328 BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA INC Facility Email: [email protected] ERD-0182 / 08/31/2021

Licensed Stations: Hemodialysis: 20 Peritoneal: 0 LONGS DIALYSIS Horry / Corporation 10 90 CLOVERLEAF DR UNIT 306 5200 VIRGINIA WAY, LICENSING AND CERTIFICATION LONGS, SC 29568-9262 FAC.#:843-399-5275 BRENTWOOD, TN 37027-7569 HEMINGWAY CENDA PH#: 843-399-5275 TOTAL RENAL CARE INC Facility Email: [email protected] ERD-0185 / 01/31/2021

Licensed Stations: Hemodialysis: 10 Peritoneal: 0 LORIS DIALYSIS CENTER Horry / Corporation 20 3827 BELL ST 3827 BELL ST LORIS, SC 29569-2352 FAC.#:843-756-0300 LORIS, SC 29569-2352 HIPPS BRIDGETT PH#: BIO-MEDICAL APPLICATIONS OF SOUTH CAROLINA INC Facility Email: [email protected] ERD-0108 / 07/31/2021

Licensed Stations: Hemodialysis: 20 Peritoneal: 0

27 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

MARKET COMMONS DIALYSIS Horry / Corporation 20 1350 FARROW PKWY STE 100 5200 VIRGINIA WAY MYRTLE BEACH, SC 29577-1668 FAC.#:843-839-0966 BRENTWOOD, TN 37027-7569 GODWIN RN BEVERLY PH#: TOTAL RENAL CARE INC Facility Email: [email protected] ERD-0211 / 04/30/2021 Licensed Stations: Hemodialysis: 17 Peritoneal: 3 MYRTLE BEACH DIALYSIS Horry / Corporation 16 3919 MAYFAIR ST 5200 VIRGINIA WAY STE 400 MYRTLE BEACH, SC 29577-5773 FAC.#:843-448-4920 BRENTWOOD, TN 37027-7569 PH#: TOTAL RENAL CARE INC Facility Email: [email protected] ERD-0163 / 06/30/2021 Licensed Stations: Hemodialysis: 16 Peritoneal: 0

Totals For Facility/License Type: Renal Dialysis Number of Activities/Facilities licensed: 8 Number Licensed Units: 153

28 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

County: Horry Facility Type: Tattoo Facility Facility Name County/Ownership Type Location Street Mailing/Billing Address Licensed Location City, State Licensee Units Administrator/Phone License Nbr/Expiration Date

ACES HIGH TATTOO Horry / Limited Liability 7 704-H SEABOARD ST MYRTLE BEACH, SC 29577-6513 FAC.#:843-839-1262 BOUGOR BROCK PH#: ACES HIGH TATTOO LLC Facility Email: [email protected] TF-0332 / 02/28/2021 BULL DAWG TATTOOS INK Horry / Corporation 3 700 SEABOARD ST UNIT A & B 700 SEABOARD ST UNIT A & B MYRTLE BEACH, SC 29577-6514 FAC.#:843-839-4064 MYRTLE BEACH, SC 29577-6514 TOWNSEND CRYSTAL PH#: 843-333-4389 PITBULL ENTERPRISES INC Facility Email: [email protected] TF-0092 / 05/31/2021 DR INK TATTOO Horry / Ltd. Liability 4 702 SEABOARD ST UNIT B 702 SEABOARD ST UNIT B MYRTLE BEACH, SC 29577-6554 FAC.#:843-445-9988 MYRTLE BEACH, SC 29577-6554 MARZIPARO AMIR PH#: 843-445-9988 A & A CREATIONS LLC Facility Email: [email protected] TF-0007 / 05/31/2021 ELITE INK TATTOOS OF MYRTLE BEACH Horry / Corporation 8 914 SEABOARD ST 914 SEABOARD ST MYRTLE BEACH, SC 29577 FAC.#:843-448-4708 MYRTLE BEACH, SC 29577 CHAPPELL SARAH PH#: 843-582-4546 UMBRELLA COMPANY LLC Facility Email: [email protected] TF-0069 / 09/30/2021 FANTASY INK LLC Horry / 4 700 SEABOARD ST #H 718 PEPPERBUSH DR MYRTLE BEACH, SC 29577 FAC.#:843-839-2117 MYRTLE BEACH, SC 29579-4164 YOST ERNIE PH#: CHRISTINE RIVERA Facility Email: [email protected] TF-0312 / 07/31/2021 HERO TATTOO Horry / Ltd. Liability 5 1833 LONE STAR ST UNIT AA 1833 LONE STAR ST UNIT AA CONWAY, SC 29526-8298 FAC.#:843-347-0009 CONWAY, SC 29526-8298 CRIBB JEFFREY S PH#: 843-347-0009 HERO GRAPHICS LLC Facility Email: [email protected] TF-0029 / 11/30/2020 HERO TATTOO MB Horry / Limited Liability Company 4 550 PIEDMONT AVE 550(single PIEDMONT member) AVE MYRTLE BEACH, SC 29577-6362 FAC.#:843-232-7126 MYRTLE BEACH, SC 29577-6362 CRIBB JEFFREY S PH#: 843-685-6436 THE HERO FIRM LLC Facility Email: [email protected] TF-0179 / 01/31/2021 INK WAVE Horry / Corporation 4 704 SEABOARD ST UNIT D PO BOX 8581 MYRTLE BEACH, SC 29577-6513 FAC.#:843-448-0711 MYRTLE BEACH, SC 29578-8581 PERRY STANLEY G PH#: 843-283-1367 INK WAVE TATTOOS INC Facility Email: [email protected] TF-0005 / 03/31/2021

29 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

MYRTLE BEACH INK Horry / Limited Liability 4 704 SEABOARD ST UNIT A 704 SEABOARD ST UNIT A MYRTLE BEACH, SC 29577-6513 FAC.#:843-626-8282 MYRTLE BEACH, SC 29577-6513 DAVIS APRIL L PH#: MYRTLE BEACH INK LLC Facility Email: [email protected] TF-0001 / 10/31/2021 PITBULL TATTOO CLINIC Horry / Corporation 6 700 SEABOARD ST UNIT B C & D 700 SEABOARD ST UNIT C & D MYRTLE BEACH, SC 29577-6514 FAC.#:843-839-1642 MYRTLE BEACH, SC 29577-6514 WELCH WILLIAM PH#: PITBULL ENTERPRISES INC Facility Email: [email protected] TF-0068 / 05/31/2021 PORKCHOPS TATTOO STUDIO OF MYRTLE BEACH Horry / Limited Liability 4 704-E SEABOARD ST MYRTLE BEACH, SC 29577-6513 FAC.#:843-808-9709 PH#: T&R INDUSTRIES LLC Facility Email: [email protected] TF-0276 / 07/31/2021 PREMIER TATTOO Horry / Sole Proprietorship 4 704 SEABOARD ST UNIT B 704 SEABOARD ST UNIT B MYRTLE BEACH, SC 29577-6513 FAC.#:843-839-9811 MYRTLE BEACH, SC 29577-6513 HUTTON STACY N PH#: 843-839-9811 HUTTON JR DAVID ALAN Facility Email: [email protected] TF-0095 / 07/31/2021 RED RAVEN ART COMPANY Horry / Limited Liability 4 602 - 2 SEABOARD ST MYRTLE BEACH, SC 29577 FAC.#:843-712-1837 AISH NATALIE PH#: 843-445-9988 A & M CREATION LLC Facility Email: [email protected] TF-0323 / 07/31/2021 TIKI TATTOO Horry / Corporation 5 707 SEABOARD ST 707 SEABOARD ST MYRTLE BEACH, SC 29577-6511 FAC.#:843-945-9501 MYRTLE BEACH, SC 29577-6511 PARSONS JEREMIAH PH#: 843-465-0064 PITBULL ENTERPRISES INC Facility Email: Not on File TF-0173 / 08/31/2021 TOP NOTCH TATTOOS (TNT) Horry / 5 702 SEABOARD ST UNIT E AND F 702 SEABOARD ST UNIT E AND F MYRTLE BEACH, SC 29577 FAC.#:843-945-2005 MYRTLE BEACH, SC 29577 CURRY DONNA PH#: 843-907-3561 TOP NOTCH TATTOO INC Facility Email: [email protected] TF-0311 / 07/31/2021 WILDSIDE TATTOO Horry / Sole Proprietorship 5 1628 STOCKHOLDER AVE 1628 STOCKHOLDER AVE MYRTLE BEACH, SC 29577-6533 FAC.#:843-231-8244 MYRTLE BEACH, SC 29577-6533 LUNDINE KIMBERLY M PH#: 716-450-4493 PARIS STEVEN Facility Email: [email protected] TF-0182 / 02/28/2021

30 hlfactcc.rdf October 2, 2020 South Carolina Department of Health & Environmental Control Division of Health Licensing

Totals For Facility/License Type: Tattoo Facility Number of Activities/Facilities licensed: 16 Number Licensed Units: 76

Number of Activities/Facilities licensed in county of : Horry # Lics: 133 Number Licensed Units : 3,622

Report Totals

Total Number of Activities/Facilities licensed: 133 Total Number Licensed Units: 3,622

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