CARLYLE SENIOR CARE OF BLACKVILLE LLC
NPI 1356054753
Skilled Nursing Facility in Blackville, SC

Active since December 30, 2022CLIA 42D2277374 · Waiver
1/5
Overall Rating
1612 JONES BRIDGE RD, BLACKVILLE, SC 29817(803) 284-4313(803) 284-1746 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlyle Senior Care Of Blackville Llc NPPES

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

CARLYLE SENIOR CARE OF BLACKVILLE LLC (NPI 1356054753), doing business as Carlyle Senior Care Of Blackville, is a healthcare organization registered as a skilled nursing facility in Blackville, South Carolina and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Richard Cranford, Manager, as its authorized official.

NPPES Registry Identity

NPI1356054753
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCARLYLE SENIOR CARE OF BLACKVILLE LLC
Location Address1612 JONES BRIDGE RDBlackville, SC 29817-3066
Mailing Address1612 Jones Bridge RdBlackville, SC 29817-3066 · (803) 284-4313 · Fax (803) 284-1746
Fax(803) 284-1746
Organization SubpartNo
Authorized OfficialRichard CranfordManager · (843) 799-0756
Enumeration DateDecember 30, 2022
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1356054753 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.
1612 JONES BRIDGE RD, Blackville, SC 29817

Other Names 1

Doing Business AsCarlyle Senior Care Of Blackville

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 42D2277374

Carlyle Senior Care Of Blackville · Blackville, SC
Active · expires Feb 26, 2027
CLIA Number42D2277374
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 27, 2025
Certificate Expiration DateFebruary 26, 2027
Laboratory DirectorJanice E. Cooke
Laboratory Phone(803) 284-4313
Laboratory LocationCarlyle Senior Care Of Blackville1612 Jones Bridge Road, Blackville, SC 29817
CLIA data matches this NPI record on: Address Name 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 Carlyle Senior Care Of Blackville (CMS certification number 425319), from CMS Care Compare.

Carlyle Senior Care Of Blackville

Nursing home · Blackville, SC
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number425319
Certified Beds85 beds75 residents per day on average
Medicare & Medicaid Participant SinceNovember 11, 1991
Resident & Family CouncilResident council
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.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
48.67
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 2.1 · LPN 0.95 · RN 0.27
3.32 hrs per resident per day
Weekend Nurse Staffing
2.87 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.
62%
Registered Nurse Turnover
37.5%
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
2
Substantiated Complaints
0
Fines
4 totaling $22,328.80
Medicare Payment Denials
0
Total Penalties
4
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 4

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

Speech-Language Pathologist
1612 JONES BRIDGE RD
BLACKVILLE, SC 29817
Skilled Nursing Facility
1612 JONES BRIDGE RD
BLACKVILLE, SC 29817
Nurse Practitioner (Family)
1612 JONES BRIDGE RD
BLACKVILLE, SC 29817
Skilled Nursing Facility
1612 JONES BRIDGE RD
BLACKVILLE, SC 29817

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 Carlyle Senior Care Of Blackville LLC's NPI number?

The NPI number for Carlyle Senior Care Of Blackville LLC is 1356054753. It was assigned to this organization in the NPPES registry on December 30, 2022. The provider is doing business as Carlyle Senior Care of Blackville.

Where is Carlyle Senior Care Of Blackville LLC located?

Carlyle Senior Care Of Blackville LLC is located at 1612 Jones Bridge Rd, Blackville, SC 29817. The listed phone number is (803) 284-4313.

What is Carlyle Senior Care Of Blackville LLC's specialty?

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

Does Carlyle Senior Care Of Blackville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2277374) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Carlyle Senior Care Of Blackville LLC a Medicare-certified nursing home?

Yes. Carlyle Senior Care Of Blackville is a Medicare-certified nursing home with 85 certified beds.

What quality rating does Carlyle Senior Care Of Blackville LLC have?

CMS rates Carlyle Senior Care Of Blackville 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 Carlyle Senior Care Of Blackville LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Carlyle Senior Care Of Blackville 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 Carlyle Senior Care Of Blackville LLC was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.