MAGNOLIA MANOR OF SPARTANBURG
NPI 1215024401
Skilled Nursing Facility in Spartanburg, SC

Active since October 07, 2006CLIA 42D0889276 · Waiver
1/5
Overall Rating
375 SERPENTINE DR, SPARTANBURG, SC 29303(864) 585-0218(864) 594-5122 Get Directions Write a Review

NPPES record last updated: April 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magnolia Manor Of Spartanburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA MANOR OF SPARTANBURG (NPI 1215024401) is a healthcare organization registered as a skilled nursing facility in Spartanburg, South Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Robert Hilsen, President, as its authorized official.

NPPES Registry Identity

NPI1215024401
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHI OF SOUTH CAROLINA AT SPARTANBURG, LLC
Location Address375 SERPENTINE DRSpartanburg, SC 29303-3026
Mailing Address930 Ridgebrook RdSparks, MD 21152-9390 · (410) 773-1000
Fax(864) 594-5122
Organization SubpartNo
Authorized OfficialRobert HilsenPresident · (864) 585-0218
Enumeration DateOctober 7, 2006
Last NPPES UpdateApril 7, 2008
NPI 1215024401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
375 SERPENTINE DR, Spartanburg, SC 29303

Other Names 1

Doing Business AsMagnolia Manor Of Spartanburg

Other Identifiers 2

Medicaid0867NFSC
Medicare OSCAR/certification425091

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0889276

Magnolia Manor-Spartanburg Inc · Spartanburg, SC
Active · expires May 21, 2027
CLIA Number42D0889276
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorRobin Goodman
Laboratory Phone(864) 585-0218
Laboratory LocationMagnolia Manor-Spartanburg Inc375 Serpentine Drive, Spartanburg, SC 29303
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Magnolia Manor - Spartanburg (CMS certification number 425091), from CMS Care Compare.

Magnolia Manor - Spartanburg

Nursing home · Spartanburg, SC
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number425091
Certified Beds95 beds85 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 1978
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
133
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.74 · LPN 0.9 · RN 0.3
2.95 hrs per resident per day
Weekend Nurse Staffing
2.57 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
52.5%
Registered Nurse Turnover
78.6%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
13
Substantiated Complaints
1
Infection-Control Citations
0
Fines
2 totaling $29,586.31
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
375 SERPENTINE DR
SPARTANBURG, SC 29303
Internal Medicine
375 SERPENTINE DR
SPARTANBURG, SC 29303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thi Of South Carolina At Spartanburg, LLC's NPI number?

The NPI number for Thi Of South Carolina At Spartanburg, LLC is 1215024401. It was assigned to this organization in the NPPES registry on October 7, 2006. The provider is doing business as Magnolia Manor Of Spartanburg.

Where is Thi Of South Carolina At Spartanburg, LLC located?

Thi Of South Carolina At Spartanburg, LLC is located at 375 Serpentine Dr, Spartanburg, SC 29303. The listed phone number is (864) 585-0218.

What is Thi Of South Carolina At Spartanburg, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Thi Of South Carolina At Spartanburg, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0889276) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Thi Of South Carolina At Spartanburg, LLC a Medicare-certified nursing home?

Yes. Magnolia Manor - Spartanburg is a Medicare-certified nursing home with 95 certified beds.

What quality rating does Thi Of South Carolina At Spartanburg, LLC have?

CMS rates Magnolia Manor - Spartanburg 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Thi Of South Carolina At Spartanburg, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Thi Of South Carolina At Spartanburg, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thi Of South Carolina At Spartanburg, LLC was last updated on April 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.