Brightwater Retirement, LLC
NPI 1407090434ActiveOrganization· Skilled Nursing Facility· Myrtle Beach, SC
Skilled Nursing Facility in Myrtle Beach, South Carolina, registered in NPPES in April 2009. The authorized official on file is Gary Ventola, Sr. Vp Of Administration. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1407090434 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2009 |
| Last updated in NPPES | Jan 14, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | NCF-0955 | SC |
| Home Health | 251E00000X | — | — |
| Assisted Living Facility | 310400000X | CRC-1489 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (SC) |
|---|
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