WELLMORE OF TEGA CAY, LLC
NPI 1619427697
Skilled Nursing Facility in Tega Cay, SC

Active since October 13, 2016CLIA 42D2100731 · Waiver
3/5
Overall Rating
111 WELLMORE DR, TEGA CAY, SC 29708(704) 612-0363 Get Directions Write a Review

NPPES record last updated: June 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2017, Oct 13, 2016 (2 updates tracked since 2016).

About Wellmore Of Tega Cay, Llc NPPES

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

WELLMORE OF TEGA CAY, LLC (NPI 1619427697) is a healthcare organization registered as a skilled nursing facility in Tega Cay, South Carolina and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Donald O Thompson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619427697
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWELLMORE OF TEGA CAY, LLC
Location Address111 WELLMORE DRTega Cay, SC 29708-0124
Mailing Address3530 Toringdon Way, Suite 204Charlotte, NC 28277-3431 · (704) 246-1620
Organization SubpartNo
Authorized OfficialDonald O ThompsonCeo · (704) 246-1620
Enumeration DateOctober 13, 2016
Last NPPES UpdateJune 19, 20172 updates tracked since enumeration
NPI 1619427697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in SC · NCF-0988
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.
111 WELLMORE DR, Tega Cay, SC 29708

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 42D2100731

Wellmore Of Tega Cay-The Lodge · Fort Mill, SC
Active · expires Aug 19, 2027
CLIA Number42D2100731
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorJasmine Richard
Laboratory Phone(803) 835-7001
Laboratory LocationWellmore Of Tega Cay-The Lodge111 Wellmore Drive, Fort Mill, SC 29708
CLIA data matches this NPI record on: Name
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 The Lodge At Wellmore- Tega Cay (CMS certification number 425407), from CMS Care Compare.

The Lodge At Wellmore- Tega Cay

Nursing home · Fort Mill, SC
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number425407
Certified Beds60 beds52 residents per day on average
Medicare & Medicaid Participant SinceApril 18, 2016
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
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.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
56.17
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 2.91 · LPN 1.51 · RN 0.76
5.18 hrs per resident per day
Weekend Nurse Staffing
4.68 hrs per resident per day
Physical Therapist Staffing
0.13 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
39%
Registered Nurse Turnover
16.7%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
3
Substantiated Complaints
0
Fines
3 totaling $14,058.98
Medicare Payment Denials
0
Total Penalties
3
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 19

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

Occupational Therapist
111 WELLMORE DR
TEGA CAY, SC 29708
Occupational Therapy Assistant
111 WELLMORE DR
TEGA CAY, SC 29708
Occupational Therapy Assistant
111 WELLMORE DR
TEGA CAY, SC 29708
Occupational Therapy Assistant
111 WELLMORE DR
TEGA CAY, SC 29708
Speech-Language Pathologist
111 WELLMORE DR
TEGA CAY, SC 29708
Physical Therapist
111 WELLMORE DR
TEGA CAY, SC 29708
Occupational Therapy Assistant
111 WELLMORE DR
FORT MILL, SC 29708
Occupational Therapist
111 WELLMORE DR
TEGA CAY, SC 29708

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 Wellmore Of Tega Cay, LLC's NPI number?

The NPI number for Wellmore Of Tega Cay, LLC is 1619427697. It was assigned to this organization in the NPPES registry on October 13, 2016.

Where is Wellmore Of Tega Cay, LLC located?

Wellmore Of Tega Cay, LLC is located at 111 Wellmore Dr, Tega Cay, SC 29708. The listed phone number is (704) 612-0363.

What is Wellmore Of Tega Cay, LLC's specialty?

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

Does Wellmore Of Tega Cay, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2100731) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Wellmore Of Tega Cay, LLC a Medicare-certified nursing home?

Yes. The Lodge At Wellmore- Tega Cay is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Wellmore Of Tega Cay, LLC have?

CMS rates The Lodge At Wellmore- Tega Cay 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Wellmore Of Tega Cay, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list Wellmore Of Tega Cay, 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 Wellmore Of Tega Cay, LLC was last updated on June 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.