BRIGHTWATER
NPI 1407090434
Skilled Nursing Facility in Myrtle Beach, SC

Active since April 21, 2009CLIA 42D1107258 · Waiver
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579(843) 903-8300(843) 236-1644 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brightwater NPPES

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

BRIGHTWATER (NPI 1407090434) is a healthcare organization registered as a skilled nursing facility in Myrtle Beach, South Carolina and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Gary Ventola, Sr. Vp Of Administration, as its authorized official.

NPPES Registry Identity

NPI1407090434
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBRIGHTWATER RETIREMENT, LLC
Location Address101 BRIGHTWATER DRMyrtle Beach, SC 29579-8268
Mailing Address101 Brightwater DrMyrtle Beach, SC 29579-8268 · (843) 903-8300 · Fax (843) 236-1644
Fax(843) 236-1644
Organization SubpartNo
Authorized OfficialGary VentolaSr. Vp Of Administration · (704) 246-1610
Enumeration DateApril 21, 2009
Last NPPES UpdateJanuary 14, 2016
NPI 1407090434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in SC · NCF-0955
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.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedAssisted Living FacilityTaxonomy 310400000X · License CRC-1489 (SC)
101 BRIGHTWATER DR, Myrtle Beach, SC 29579

Other Names 1

Other NameBrightwater

Other Identifiers 1

Medicare OSCAR/certification425395SC

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 42D1107258

Brightwater Home Health · Myrtle Beach, SC
Active · expires Nov 1, 2027
CLIA Number42D1107258
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorCatherine Hafner
Laboratory Phone(843) 903-8300
Laboratory LocationBrightwater Home Health101 Brightwater Drive, Myrtle Beach, SC 29579
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Physical Therapy Assistant
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Home Health
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Nurse Practitioner (Psychiatric/Mental Health)
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Physical Therapy Assistant
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Occupational Therapy Assistant
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Occupational Therapist (Gerontology)
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Occupational Therapy Assistant
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579
Speech-Language Pathologist
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579

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 Brightwater Retirement, LLC's NPI number?

The NPI number for Brightwater Retirement, LLC is 1407090434. It was assigned to this organization in the NPPES registry on April 21, 2009. The provider is also known as Brightwater.

Where is Brightwater Retirement, LLC located?

Brightwater Retirement, LLC is located at 101 Brightwater Dr, Myrtle Beach, SC 29579. The listed phone number is (843) 903-8300.

What is Brightwater Retirement, LLC's specialty?

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

Does Brightwater Retirement, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1107258) is associated with this NPI, valid through November 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brightwater Retirement, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Brightwater Retirement, 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 Brightwater Retirement, LLC was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.