OPEN HEARTS HEALTHCARE SKILLED NURSING
NPI 1396558771
Home Health in Lake City, SC

Active since January 29, 2025CLIA 42D2347289 · Waiver
121 S ACLINE ST, LAKE CITY, SC 29560(843) 939-0810 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Open Hearts Healthcare Skilled Nursing NPPES

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

OPEN HEARTS HEALTHCARE SKILLED NURSING (NPI 1396558771) is a healthcare organization registered as a home health in Lake City, South Carolina and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through July 14, 2028, maintains a secondary practice location in Lake City, and lists Andrea Graham, Director, as its authorized official.

NPPES Registry Identity

NPI1396558771
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameOPEN HEARTS HEALTHCARE SKILLED NURSING
Location Address121 S ACLINE STLake City, SC 29560-2632
Mailing Address121 S Acline StLake City, SC 29560-2632
Organization SubpartNo
Authorized OfficialAndrea GrahamDirector · (843) 939-0810
Enumeration DateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
NPI 1396558771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
121 S ACLINE ST, Lake City, SC 29560

Secondary Practice Location 1

Location 1121 S Acline StLake City, SC 29560-2632

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 42D2347289

Open Hearts Healthcare, LLC · Lake City, SC
Active · expires Jul 14, 2028
CLIA Number42D2347289
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorAndrea Graham
Laboratory Phone(843) 699-9318
Laboratory LocationOpen Hearts Healthcare, LLC121 S Acline Street, Lake City, SC 29560
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Emergency Response System Companies
121 S ACLINE ST
LAKE CITY, SC 29560
Home Health
121 S ACLINE ST
LAKE CITY, SC 29560

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 Open Hearts Healthcare Skilled Nursing's NPI number?

The NPI number for Open Hearts Healthcare Skilled Nursing is 1396558771. It was assigned to this organization in the NPPES registry on January 29, 2025.

Where is Open Hearts Healthcare Skilled Nursing located?

Open Hearts Healthcare Skilled Nursing is located at 121 S Acline St, Lake City, SC 29560. The listed phone number is (843) 939-0810.

What is Open Hearts Healthcare Skilled Nursing's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Open Hearts Healthcare Skilled Nursing hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2347289) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Open Hearts Healthcare Skilled Nursing was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.